SearchIllinois235Z00000X

Katelyn Bruni

NPI 1629349493 · on the registry since 2012 · sole proprietor

Practice

Address
3509 W. 212th Pl.
Matteson, IL 60443
Phone
(708) 747-1982

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-01-25

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