Individual
MATTHEW BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
150 W HIGH ST, MORRIS, IL 60450-1463
(815) 942-2932
Mailing address
1200 HARGER RD STE 404, OAK BROOK, IL 60523-1805
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085001822
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00035862
RAILROAD MEDICARE
IL
Enumeration date
06/29/2006
Last updated
11/15/2021
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