Tori Brueggert, Pllc | |
1055 Crystal Ln Diamond IL 60416-7086 | |
(815) 529-7267 | |
Not Available |
Full Name | Tori Brueggert, Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1055 Crystal Ln, Diamond, Illinois |
Authorized Official Name and Position | Victoria Brueggert (OWNER/NURSE PRACTITIONER) |
Authorized Official Contact | 8155297267 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tori Brueggert, Pllc 1055 Crystal Ln Diamond IL 60416-7086 Ph: (815) 529-7267 | Tori Brueggert, Pllc 1055 Crystal Ln Diamond IL 60416-7086 Ph: (815) 529-7267 |
NPI Number | 1063234540 |
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Provider Enumeration Date | 10/28/2024 |
Last Update Date | 10/30/2024 |
Certification Date | 10/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063234540 | NPI | - | NPPES |
1992231260 | Other | IL | NPI |
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