Dr. Edward E. Bruen
Periodontist
465 S Spring Rd
Elmhurst
, Illinois 60126-5805
Dr. Edward E. Bruen
Periodontist
465 S Spring Rd
Elmhurst
, Illinois 60126-5805
(630) 530-4724
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Edward E. Bruen
- 465 S Spring Rd
- Elmhurst, IL
- Zip : 60126-5805
- Fax : (630) 530-4724
- Phone : (630) 530-4710
Second Address
- Dr. Edward E. Bruen
- 465 S Spring Rd
- Elmhurst, IL
- Zip : 60126-5805
- Fax : (630) 530-4724
- Phone : (630) 530-4710
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | IL |
National Provider Identifier
| NPI | 1144395872 |
|---|---|
| Provider Name | Dr. Edward E. Bruen |
| First Address | Elmhurst, IL 60126-5805 |
| Second Address | Elmhurst, IL 60126-5805 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U59496 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.