Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian G G Bullock

Individual provider Massage Therapist · NPI 1407406002

Brian G G Bullock is a Massage Therapist in Morton Grove, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019

Practice location Address checks out

9000 Waukegan Rd Ste 100
Morton Grove, IL 60053-2128
Phone: (847) 779-6050
Fax: (847) 929-1167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 227.003818 (IL)

Record details

NPI number1407406002
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2019
Last updated in NPPESSeptember 16, 2019
Mailing address9000 Waukegan Rd Ste 100, Morton Grove, IL 60053-2128

Other providers in Morton Grove