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Individual

MRS. MICHELLE BARBARA BRUNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
676 N SAINT CLAIR ST STE 600, CHICAGO, IL 60611-2981
(312) 664-3278
(312) 695-0063
Mailing address
676 N SAINT CLAIR ST STE 600, CHICAGO, IL 60611-2981
(312) 664-3278
(312) 695-0063

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
41418332
IL
363L00000X
Nurse Practitioner
Primary
209026912
IL
363LA2100X
Acute Care Nurse Practitioner
41418332
IL

Other

Enumeration date
02/14/2023
Last updated
08/09/2023
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