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

Theodora Ulli Jordanka Bruun

Individual provider Internal Medicine Physician · NPI 1083418982

Theodora Ulli Jordanka Bruun is an Internal Medicine Physician in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

5841 S Maryland Ave Ste MC7082
Chicago, IL 60637-1465
Phone: (773) 702-6840
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.085963 (IL)

Record details

NPI number1083418982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

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