Individual
DANIEL H BRUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 WAGNER DR, CREVE COEUR, IL 61610-3966
(309) 699-6923
(309) 699-5226
Mailing address
120 WAGNER DR, CREVE COEUR, IL 61610-3966
(309) 699-6923
(309) 699-5226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010785
HEALTH ALLIANCE
IL
01
—
149034
HEALTHLINK
IL
01
—
203144
ONE HEALTH PLAN
IL
01
—
4064057
AETNA
IL
01
—
890633
FIRST HEALTH
IL
01
—
9021691
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/16/2007
Last updated
08/16/2007
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