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Contact Information

JEANNE BRUCATO
1100 PEMBRIDGE DR
LAKE FOREST, IL60045-4228
 Phone: 847-604-6700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JEANNE BRUCATO · (Female)

NPI Number 1437986841
Status Active
Credentials
Entity Individual
Enumeration date 09/18/2024
Last updated 09/18/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 070.006171
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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