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Patrick Bruen
NPI 1316537392 · on the registry since 2021
Practice
- Address
- 1409 W Carroll Ave
Chicago, IL 60607 - Phone
- (312) 773-0883
- Organisation at this address
- Eyas Landing, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 195
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois