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NPI Code Detail

MEDICARE: ERICH E BRUESCHKE MD

MEDICARE: ERICH E BRUESCHKE MD
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
1207Q00000XFamily Medicine Physician036043191IL

General Provider Information

NPI Number : 1699940080
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICH E BRUESCHKE MD
Provider Business Mailing Address
First Line : 2250 LANDMEIER RD STE B
Second Line :
City : ELK GROVE VILLAGE
State : IL
Zip : 60007-2623
Country : US
Telephone Number : 312-576-1934
Fax Number :
Provider Business Practice Location Address
First Line : 2250 LANDMEIER RD STE B
Second Line :
City : ELK GROVE VILLAGE
State : IL
Zip : 60007-2623
Country : US
Telephone Number : 312-576-1934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2008
Last Update Date : 04/19/2026

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Directions to “ ERICH E BRUESCHKE MD” Practice Location

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