Individual
MR. JAKE BURANICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
395 RODENBURG RD., HOME HEALTH - TRAVEL, ROSELLE, IL 60172
(847) 274-9561
(224) 588-3012
Mailing address
395 RODENBURG RD., ROSELLE, IL 60172
(847) 274-9561
(224) 588-3012
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
160.002627
IL
Other
Enumeration date
02/08/2010
Last updated
09/11/2013
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