Constantine B Bruns


Address: 4500 W 147th St, Midlothian, IL 60445-2646
Phone: 7085970032

Constantine B Bruns (NPI# 1770689580, PAC ID# 6406912930) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1770689580
PAC ID by PECOS 6406912930
Professional Enrollment ID I20090306000361
Full Name Constantine B Bruns
Address 4500 W 147th St
Midlothian
IL 60445-2646
Phone Number 7085970032
Gender M
Graduation Year 1980
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
14500 S Manistee Ave, Burnham, IL 60633-2004
4500 W 147th St, Midlothian, IL 60445-2646 7085970032

Organization Information

Office Location

Street Address 4500 W 147TH ST
City MIDLOTHIAN
State IL
Zip 60445-2646

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Competitor

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City MIDLOTHIAN
Zip Code 60445
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty MIDLOTHIAN + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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