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Matthew Bruno, PA
Medical Physician Assistant in Morris, Illinois
NPI 1104854066

Matthew Bruno is a Medical Physician Assistant based in Oak Brook, IL and is specialized in Medical. Matthew Bruno practices in Morris, IL and has the professional credentials of PA. The NPI Number for Matthew Bruno is 1104854066 and holds a License No. 085001822 (Illinois).

The current practice location address for Matthew Bruno is 150 W High St, Morris, IL and can be reached out via phone at 815-942-2932.

Location: 150 W High St, Morris, IL, 60523-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104854066
Provider Name
Matthew Bruno
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
150 W High St, Morris, IL, 60523-1805
Phone Number
815-942-2932
Fax Number
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00035862 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
150 W High St
City
Morris
State
Illinois
Zip
60450-1463
Phone Number
815-942-2932
Fax Number
person
Provider Business Mailing Address Details
Address
150 W High St
City
Morris
State
Illinois
Zip
60450-1463
Phone Number
815-942-2932
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
085001822 (Illinois)
Definition
Definition to come...
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