Individual
DR. PETER ANTHONY BRUSCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 N RITCHIE CT, 29B, CHICAGO, IL 60610-2168
(239) 776-5059
Mailing address
1310 N RITCHIE CT, 29B, CHICAGO, IL 60610-2168
(239) 776-5059
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
036043341
IL
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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