Kurt E Bruksch (NPI# 1154339448, PAC ID# 7517068802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1154339448 |
| PAC ID by PECOS | 7517068802 |
| Professional Enrollment ID | I20100819001175 |
| Full Name | Kurt E Bruksch |
| Organization Legal Name | CRYSTAL LAKE ORAL MAXILLOFACIAL SURGERY LTD |
| Address |
690 N Route 31 Crystal Lake IL 60012-3790 |
| Phone Number | 8154595600 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY |
| Graduation Year | 1982 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 6608900196 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 690 N Route 31, Crystal Lake, IL 60012-3790 | 8154595600 | CRYSTAL LAKE ORAL MAXILLOFACIAL SURGERY LTD |
| Organization Legal Name | CRYSTAL LAKE ORAL MAXILLOFACIAL SURGERY LTD |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam M Ozment | Oral Surgery | Crystal Lake Oral Maxillofacial Surgery Ltd | 690 N Route 31, Crystal Lake, IL 60012-3790 |
| Robert K Conlon | Oral Surgery | Crystal Lake Oral Maxillofacial Surgery Ltd | 690 N Route 31, Crystal Lake, IL 60012-3790 |
| Street Address |
690 N ROUTE 31 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip | 60012-3790 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam M Ozment | Oral Surgery | Crystal Lake Oral Maxillofacial Surgery Ltd | 690 N Route 31, Crystal Lake, IL 60012-3790 |
| Robert K Conlon | Oral Surgery | Crystal Lake Oral Maxillofacial Surgery Ltd | 690 N Route 31, Crystal Lake, IL 60012-3790 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward B Rusin | Psychologist, Clinical | 7009 Crystal Springs Rd, Crystal Lake, IL 60012-1154 | |
| Linda Bedsole | Clinical Psychologist | Creative Psychology, Ltd. | 3305 Opengate Rd, Crystal Lake, IL 60012-1171 |
| Antonio C Yuk | Neurosurgery | 380 N Terra Cotta Rd, Suite I, Crystal Lake, IL 60012-1809 | |
| Hiralal Goklani Maheshwari | Endocrinology | 380 N Terra Cotta Rd, Suite A, Crystal Lake, IL 60012-1809 | |
| Margaret Miller | Occupational Therapy | Bowes In-home Care, Inc | 965 N Brighton Cir W, Crystal Lake, IL 60012-2036 |
| Lori Conway | Occupational Therapy | Bowes In-home Care, Inc | 965 N Brighton Cir W, Crystal Lake, IL 60012-2036 |
| Tracy Shadley | Nurse Practitioner | Chestnut Health of Illinois LLC | 1000 E Brighton Ln, Crystal Lake, IL 60012-2074 |
| Laura Ann Strong | Psychologist, Clinical | 8600 Us Hwy 14, Suite 105, Crystal Lake, IL 60012-2700 | |
| John P Terlep | Chiropractic | 8600 Us Hwy 14 140, Crystal Lake, IL 60012-2700 | |
| Gale L Harris | Clinical Social Worker | 8600 Us Route 14, Suite 105, Crystal Lake, IL 60012-2700 | |
| Find all physicians in zip 60012 | |||
| City | CRYSTAL LAKE |
| Zip Code | 60012 |
| Specialty | ORAL SURGERY |
| City + Specialty | CRYSTAL LAKE + ORAL SURGERY |
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| 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.