TRACE VON BRUENCHENHEIN

MCHENRY, IL
NPI1558930263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-025953)
Enumeration Date2021-06-18
Last Update Date2021-06-18
Business Address
TRACE VON BRUENCHENHEIN
406 FRONT ST # 110
MCHENRY, IL 60050-5593
Phone number: 815-344-8706
Mailing Address
TRACE VON BRUENCHENHEIN
900 RAND RD STE 300
DES PLAINES, IL 60016-2359
Phone number: 847-324-3976
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