Organization
DR.CONSTANTINE BRUNS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANTINE BRUNS PSYCHOLOGIST (PRESIDENT)
(847) 410-2029
Entity
Organization
Contact information
Practice address
8170 MCCORMICK BLVD, SUITE NO.204, SKOKIE, IL 60076-2961
(847) 410-2029
(847) 410-2041
Mailing address
8170 MCCORMICK BLVD, SUITE NO.204, SKOKIE, IL 60076-2961
(847) 410-2029
(847) 410-2041
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071002733
IL
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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