Jillian Bruch

NPI 1952783490 · on the registry since 2015

Practice

Address: 24 Ginger Creek Pkwy
Glen Carbon, IL 62034
Phone: (618) 692-1110
Organisation at this address: West End Family Dental
Ginger Creek Dental Llc
St. Louis Surgical Associates, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-06-21

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