DR. CONSTANTINE B BRUNS


Address: 4500 W 147th, Midlothian, IL 60445
Phone: 7085970032

DR. CONSTANTINE B BRUNS (NPI# 1770689580) 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) 1770689580
Entity Type Individual
Full Name DR. CONSTANTINE B BRUNS
Credential PHD IN CLINICAL PSYC
Practice Address 4500 W 147th
Midlothian
IL 60445
Practice Telephone 7085970032
Practice Fax Number 7085970649
Mailing Telephone 7085970032
Mailing Fax Number 7085970649
Enumeration Date 2006-09-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
IL Behavioral Health & Social Service Providers

Office Location

Street Address 4500 W 147TH
City MIDLOTHIAN
State IL
Zip Code 60445

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1821241365 Andrew Charles Cox Psychologist 13354 Midlothian Tpke Ste 200, Midlothian, VA 23113-4258 2008-10-28
1174771737 Melinda Beth Moore Psychologist 15521 Midlothian Turnpike, Suite 105, Midlothian, VA 23114 2008-09-08
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Competitor

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City MIDLOTHIAN
Zip Code 60445

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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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