Bullock, Brian G G

Bullock, Brian G G is an individual health care provider with primary practice located at 9000 Waukegan Rd Ste 100 , Morton Grove IL 60053-2128. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Bullock, Brian G G can be contacted via phone (847) 779-6050.

Contact Information

Primary practice address
9000 Waukegan Rd Ste 100 Morton Grove IL 60053-2128
Phone: (847) 779-6050
Fax: (847) 929-1167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227.003818 Illinois

Profile Details

NPI number 1407406002
LBN Legal business name Bullock, Brian G G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2019
Last updated Sep 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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