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Trace Von Bruenchenhein
NPI 1558930263 · on the registry since 2021
Practice
- Address
- 406 Front St # 110
Mchenry, IL 60050 - Phone
- (815) 344-8706
- Fax
- (815) 344-8793
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-18
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