DR. KURT BRUKSCH


Address: 690 North Route #31, Crystal Lake, IL 60012
Phone: 8154595600

DR. KURT BRUKSCH (NPI# 1154339448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154339448
Entity Type Individual
Full Name DR. KURT BRUKSCH
Credential D.D.S.
Practice Address 690 North Route #31
Crystal Lake
IL 60012
Practice Telephone 8154595600
Practice Fax Number 8154595601
Mailing Telephone 8154595600
Mailing Fax Number 8154595601
Enumeration Date 2006-08-03
Last Update Date 2010-06-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
3721 WI Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
019018137 IL Dental Providers

Office Location

Street Address 690 NORTH ROUTE #31
City CRYSTAL LAKE
State IL
Zip Code 60012

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033574629 Joan M Ryan Counselor 610 N Route 31, Suite E, Crystal Lake, IL 60012 2015-12-23
1285972331 Lauren Elyse Westerman Physical Therapist 1000 Brighton Ln, Crystal Lake, IL 60012 2013-01-24
1447537469 Sean Gale Pharmacist 135 Carmella Dr, Crystal Lake, IL 60012 2011-11-04
1477836625 Judy Meekyung Fakhouri Pharmacist 315 N. Route 31, Crystal Lake, IL 60012 2011-09-23
1730462136 Leslie Dawn Weckerlin Pharmacist 315 N Route 31, Crystal Lake, IL 60012 2011-09-21
1639452188 Laura Jean Galles Pharmacist 315 N. Routet 31, Crystal Lake, IL 60012 2011-09-21
1326320516 Stacey Jean Knuth Pharmacist 315 North Route 31, Crystal Lake, IL 60012 2011-09-13
1356469803 Donn Orien Humphries Chiropractor 690 N Route 31, Suite F, Crystal Lake, IL 60012 2007-03-26
1538204508 Midwest Physical Therapy Ctr Clinic/Center 630 N Rt 31, Suite 103, Crystal Lake, IL 60012 2007-02-20
1356488415 Charlotte Joy Parcels Social Worker 8600 Route 14, Suite 110, Crystal Lake, IL 60012 2007-01-30
Find all providers in zip 60012

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730197468 Crystal Lake Oral Maxillofacial Surgery Ltd Dentist 690 N Il Route 31, Crystal Lake, IL 60012-3790 2006-08-05
1215955745 Michael Edwin Jones Dentist 1500 Carlemont Dr, Suite #f, Crystal Lake, IL 60014-1833 2006-07-17
1477592061 Gregory A Lehman Dentist 850 Munshaw Lane, Crystal Lake, IL 60014 2006-06-06
1700865441 John Joseph Richard Dentist 690 North Route 31, Crystal Lake, IL 60012 2006-01-11
1194942110 Lehman & Menis Oral & Maxillofacial Surgery, P.C. Dentist 850 Munshaw Lane, Crystal Lake, IL 60014-1731 2007-04-19
1013028398 Mej & Associates Enterprises LLC Dentist 1500 Carlemont Dr, Suite #f, Crystal Lake, IL 60014-1833 2006-08-31
1912918608 Thomas J Skiba Dentist 690 North Route 31, Crystal Lake, IL 60012 2006-08-10
1033127238 Adam Ozment Dentist 690 North Route 31, Crystal Lake, IL 60012 2006-08-03
1336185305 Michael A Menis Dentist 850 Munshaw Lane, Crystal Lake, IL 60014 2006-06-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255986576 Othman Rezki Dentist 1900 W Polk St # 611, Chicago, IL 60612-3723 2019-08-04
1215410584 David Peterson Dentist 1619 Brandywine Ln, Dixon, IL 61021-8757 2018-09-12
1952887374 Winnebago Braces, LLC. Dentist 555 N Court St Ste 110, Rockford, IL 61103-6898 2018-07-18
1093232951 Robert C. Bosack, Dds & Associates, Ltd Dentist 16011 108th Ave Ste A, Orland Park, IL 60467-8787 2017-08-23
1790146132 Family Millennium Dentistry, Inc. Dentist 1342 W Randolph St, Chicago, IL 60607-1522 2016-03-13
1770962375 Eunsu Jung Dentist 1902 N Prospect Ave Ste 1, Champaign, IL 61822-1411 2015-05-28
1811374945 Alexandria Hawkins Dentist 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 2015-04-27
1043607872 Alissa Nicole Pullos Dentist 105 E 1st St Ste 103, Hinsdale, IL 60521 2015-04-20
1538592654 Matthew Seena Hamedani Dentist 3116 Oak Park Ave, Berwyn, IL 60402 2013-08-13
1578907689 M Timothy Murphy Dentist 500 Davis St Ste 509, Evanston, IL 60201-4621 2013-04-18
Find all providers with the same taxonomy

Competitor

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City CRYSTAL LAKE
Zip Code 60012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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