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NPI Code Detail

MEDICARE: DR. BRUCE HANDLER M.D.

MEDICARE:  DR. BRUCE  HANDLER  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
1174400000XSpecialistIL

General Provider Information

NPI Number : 1821193657
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE HANDLER M.D.
Provider Business Mailing Address
First Line : 3800 N. LAKE SHORE DR.
Second Line : #3E
City : CHICAGO
State : IL
Zip : 60613-3313
Country : US
Telephone Number : 773-935-1093
Fax Number : 773-935-1093
Provider Business Practice Location Address
First Line : 3800 N. LAKE SHORE DR.
Second Line : #3E
City : CHICAGO
State : IL
Zip : 60613-3313
Country : US
Telephone Number : 773-935-1093
Fax Number : 773-935-1093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 07/09/2007

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Directions to “ DR. BRUCE HANDLER M.D.” Practice Location

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