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NPI Code Detail

MEDICARE: DR. BRUCE DALE PEOPLES M.D.

MEDICARE:  DR. BRUCE DALE PEOPLES  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician36094936IL

General Provider Information

NPI Number : 1063546240
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE DALE PEOPLES M.D.
Provider Business Mailing Address
First Line : 1333 BUTTERFIELD RD
Second Line : STE 130
City : DOWNERS GROVE
State : IL
Zip : 60515-5641
Country : US
Telephone Number : 630-371-0133
Fax Number : 630-371-0138
Provider Business Practice Location Address
First Line : 5002 W MADISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60644-4127
Country : US
Telephone Number : 773-379-1000
Fax Number : 773-379-1342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2007
Last Update Date : 03/28/2016

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Directions to “ DR. BRUCE DALE PEOPLES M.D.” Practice Location

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