Individual
JIM BRUNETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 AMERICAN WAY, ELGIN, IL 60120-4341
(847) 742-3545
Mailing address
721 S QUENTIN RD, PALATINE, IL 60067-6778
(847) 485-3073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
180.010988
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700295961
—
IL
Enumeration date
08/12/2014
Last updated
03/01/2019
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