Individual
KARI N. BRUENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3375 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 343-5114
(309) 343-7859
Mailing address
3375 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 343-5114
(309) 343-7859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041340631
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
833610
MEDICARE GROUP PTAN
IL
01
—
CB6569
RR MEDICARE GROUP PTAN
IL
01
—
P00625331
RR MEDICARE MEMBER PTAN
IL
Enumeration date
07/07/2008
Last updated
11/03/2008
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