person
Brian Bruckner, MD
General Practice Physician in Lockport, Illinois
NPI 1912232331

Brian Bruckner is a General Practice Physician based in Lockport, IL. Brian Bruckner practices in Lockport, IL and has the professional credentials of MD. The NPI Number for Brian Bruckner is 1912232331 and holds a License No. 036.053254 (Illinois).

The current practice location address for Brian Bruckner is 16329 Weber Rd, Lockport, IL and can be reached out via phone at 815-274-8248.

Location: 16329 Weber Rd, Lockport, IL, 60441-6558
person
Provider Profile Details
NPI Number
1912232331
Provider Name
Brian Bruckner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16329 Weber Rd, Lockport, IL, 60441-6558
Phone Number
815-274-8248
Fax Number
Provider Enumeration Date
10/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16329 Weber Rd
City
State
Zip
60441-6558
Phone Number
815-274-8248
Fax Number
person
Provider Business Mailing Address Details
Address
16329 Weber Rd
City
State
Zip
60441-6558
Phone Number
815-274-8248
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
036.053254 (Illinois)
Definition
Definition to come...
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