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Organization
BRUKETA FAMILY CHIROPRACTIC
Active
Organization
BRUKETA FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE BRUKETA D.C. (OWNER)
(309) 258-5738
Entity
Organization
Contact information
Practice address
7310 N VILLA LAKE DR, PEORIA, IL 61614-8267
(309) 691-9767
Mailing address
7310 N VILLA LAKE DR, PEORIA, IL 61614-8267
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012927
IL
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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