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General NPI Number Information
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NPI Number | 1710067962
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Entity Type | Organization
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Legal Business Name | JORGE E BRUNELLE, MD, MPH, PC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 120 S LINCOLN AVE
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City | AURORA
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State | IL
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Zip | 60505-4228
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Country | US
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Telephone | 630-801-4150
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Fax | 630-801-4151
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Provider Business Mailing Address
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Address Line | 120 S LINCOLN AVE
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City | AURORA
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State | IL
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Zip | 60505-4228
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Country | US
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Telephone | 630-801-4150
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Fax | 630-801-4151
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JORGE E BRUNELLE
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Credential | M.D, M.P.H, PC
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Telephone | 630-801-4150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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