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1396728978
PETER BRUKASZ
PALOS HILLS, IL
NPI
1396728978
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Former Name
PIOTR BRUKASZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
202K00000X
(Licence: IL 036111722)
Enumeration Date
2005-11-28
Last Update Date
2017-01-03
Business Address
Mr. PETER BRUKASZ M.D.
10510 S ROBERTS RD
PALOS HILLS, IL 60465-1934
Phone number: 630-401-7102
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Mailing Address
Mr. PETER BRUKASZ M.D.
10510 S ROBERTS RD
PALOS HILLS, IL 60465-1934
Phone number: 630-401-7102
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