SearchIllinois390200000X

Austin Breunig

NPI 1578011052 · on the registry since 2016

Practice

Address
217 W Pleasant Ave
Sandwich, IL 60548
Phone
(815) 505-3143

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-14

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