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Dr. Larry Dean Bruno, DC
Chiropractor in Greenville, Illinois
NPI 1669568051

Larry Dean Bruno is a Chiropractor based in Greenville, IL. Larry Dean Bruno practices in Greenville, IL and has the professional credentials of DC. The NPI Number for Larry Dean Bruno is 1669568051 and holds a License No. 038-010373 (Illinois).

The current practice location address for Larry Dean Bruno is 1105 E Harris Ave, Greenville, IL and can be reached out via phone at 618-664-4600.

Location: 1105 E Harris Ave, Greenville, IL, 62246-1963
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669568051
Provider Name
Larry Dean Bruno
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1105 E Harris Ave, Greenville, IL, 62246-1963
Phone Number
618-664-4600
Fax Number
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0332010 01 IL BCBS MIXED GROUP
738272 01 IL HEALTHLINK PPO
412192761 01 IL TAX ID
institution
Provider Business Practice Location Address Details
Address
1105 E Harris Ave
City
Greenville
State
Illinois
Zip
62246-2221
Phone Number
618-664-4600
Fax Number
person
Provider Business Mailing Address Details
Address
1105 E Harris Ave
City
Greenville
State
Illinois
Zip
62246-2221
Phone Number
618-664-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-010373 (Illinois)
Definition
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.
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