MR. Jon Bruce

NPI #1255880050 in La Grange Park, Illinois

Provider Information

NPI Number: 1255880050
Entity Type: Individual
Name: MR. Jon Bruce
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Sep 22, 2016
Last Updated: Sep 22, 2016

Practice Location

Address: 333 N. LA GRANGE ROAD
Address 2: VILLAGE MARKET,
City: La Grange Park
State: Illinois
ZIP Code: 60526-2539
Phone: (708) 745-5277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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