Lucas Bruton
Lucas Bruton is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2017.
- Licensed in
- IL
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
225 E Chicago AveChicago, IL 60611-2991
Phone: (312) 227-4000
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Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 036.152277 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1972044311 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 18, 2017 |
| Last updated in NPPES | June 26, 2020 |
| Certification date | June 26, 2020 |
| Mailing address | 225 E Chicago Ave, Chicago, IL 60611-2991 |
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