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BRUKETA FAMILY CHIROPRACTIC NPI 1104283357


NPI Information

NPI: 1104283357
Provider Name: BRUKETA FAMILY CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7310 N VILLA LAKE DR
PEORIA, IL
ZIP 61614
Phone: (309) 691-9767
Get Directions

BRUKETA FAMILY CHIROPRACTIC is a chiropractor in Peoria, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BRUKETA FAMILY CHIROPRACTIC NPI is 1104283357. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7310 N VILLA LAKE DR
PEORIA, IL
ZIP 61614-267
Phone: (309) 691-9767

The provider's authorized official is Kyle Bruketa .
The authorized official title is Owner and has the following contact phone number (309) 258-5738.

The enumeration date for this NPI number is 1/19/2016 and was last updated on 1/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor038.012927ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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