Organization
AIMEE C. BRUECK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AIMEE C. BRUECK (OWNER)
(773) 677-3758
Entity
Organization
Contact information
Practice address
1908 N MOHAWK ST, UNIT 22, CHICAGO, IL 60614-5220
(773) 677-3758
Mailing address
1908 N MOHAWK ST, UNIT 22, CHICAGO, IL 60614-5220
(773) 677-3758
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634907
BCBS PROVIDER NUMBER
IL
Enumeration date
11/06/2006
Last updated
08/22/2020
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