Organization
TORI BRUEGGERT, PLLC
Active
Other names
Sound Mind Psychiatry, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BRUEGGERT APRN (OWNER/NURSE PRACTITIONER)
(815) 529-7267
Entity
Organization
Contact information
Practice address
1055 CRYSTAL LN, DIAMOND, IL 60416-7086
(815) 529-7267
Mailing address
1055 CRYSTAL LN, DIAMOND, IL 60416-7086
(815) 529-7267
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992231260
NPI
IL
Enumeration date
10/28/2024
Last updated
10/30/2024
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