Individual
MR. GERARD BREUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
535 E NORTH ST STE C, BRADLEY, IL 60915-1188
(815) 802-7503
(815) 802-7514
Mailing address
535 E NORTH ST STE C, BRADLEY, IL 60915-1188
(815) 802-7503
(815) 802-7514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
70006130
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070006130 1
—
IL
Enumeration date
03/20/2007
Last updated
07/28/2021
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