NPI | 1164846457 |
---|---|
Doing Business As | DR.CONSTANTINE BRUNS |
Entity Type | Organization |
Authorized Contact | CONSTANTINE B BRUNS Psychologist 847-410-2029 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071002733) |
Enumeration Date | 2014-02-07 |
Last Update Date | 2014-02-07 |