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General NPI Number Information
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NPI Number | 1699009126
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Entity Type | Individual
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Provider Name | JOSEPH C BRUTZKUS MD
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Gender | Male
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1001 COMMERCE DR STE 605
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City | OAK BROOK
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State | IL
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Zip | 60523-8865
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Country | US
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Telephone | 630-225-2263
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Fax | 331-732-4591
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Provider Business Mailing Address
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Address Line | 1001 COMMERCE DR STE 605
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City | OAK BROOK
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State | IL
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Zip | 60523-8865
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Country | US
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Telephone | 630-225-2263
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Fax | 331-732-4591
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 036164517
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 036.164517
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 125073778
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 036164517
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License Number State | IL
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