Jorge E Brunelle, Md, Mph, Pc

LBN: Jorge E Brunelle, Md, Mph, Pc
Jorge E Brunelle, Md, Mph, Pc is an health care organization with primary practice located at 120 S Lincoln Ave , Aurora IL 60505-4228. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jorge E Brunelle, Md, Mph, Pc can be contacted via phone (630) 801-4150, or through Brunelle, Jorge E via phone (630) 801-4150.

Contact Information

Primary practice address
120 S Lincoln Ave Aurora IL 60505-4228
Phone: (630) 801-4150
Fax: (630) 801-4151
Website:
Map and Directions
Authorized official contact:
Name: Brunelle, Jorge E M.D, M.P.H, PC
Phone: (630) 801-4150

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0036-097428 Illinois

Profile Details

NPI number 1710067962
LBN Legal business name Jorge E Brunelle, Md, Mph, Pc
DBA Doing business as
Authorized official Brunelle, Jorge E M.D, M.P.H, PC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710067962 NPPES
Illinois Other 0036-097428 LICENSE NUMBER
Illinois MEDICAID 36097428 LICENSE NUMBER

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