Dr. Tina M. Brueschke, M.D.
Family Medicine in Woodridge, IL. Individual provider (NPI-1).
NPI number1417062829
StatusActive
Last updated in NPPESMar 11, 2021
Details
- NPI
- 1417062829
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tina M. Brueschke
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2006
- Certification date
- Mar 11, 2021
- Last updated
- Mar 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 36115136 | IL | Yes |
Practice location
2363 63rd StWoodridge, IL 60517-1369
Phone 630-716-7510
Mailing address
2363 63rd StWoodridge, IL 60517-1369
Phone 630-716-7510
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