Individual
MICHAEL A BRUSCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10735 W 159TH STREET, ORLAND PARK, IL 60467
(708) 873-7775
(708) 873-0192
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036086269
IL
208M00000X
Hospitalist Physician
036086269
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086269
—
IL
Enumeration date
08/11/2006
Last updated
08/04/2023
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