Michael Brunner, DO
Family Medicine in Bartlett, IL. Individual provider (NPI-1).
NPI number1215166319
StatusActive
Last updated in NPPESMar 11, 2021
Details
- NPI
- 1215166319
- Entity type
- Individual (NPI-1)
- Name
- Michael Brunner
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2009
- Certification date
- Mar 11, 2021
- Last updated
- Mar 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036.133928 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 125055948 | IL |
Practice location
1041 W Stearns RdBartlett, IL 60103-4509
Phone 630-716-7500
Mailing address
1515 E Lake StAttn: Abmg Primary Care
Hanover Park, IL 60133-4869
Phone 630-483-3200
Other practice locations
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All 26 Family Medicine Physician providers in Bartlett · All 535 providers in Bartlett
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