Individual
IRENE ELIZABETH BRUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RN
Contact information
Practice address
200 N HAMMES AVE, SUITE 2, JOLIET, IL 60435-6677
(815) 773-2301
Mailing address
16329 WEBER RD, LOCKPORT, IL 60441-6558
(815) 725-9774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
225700000X
Massage Therapist
—
IL
Other
Enumeration date
05/22/2007
Last updated
09/11/2025
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