| Shane Bruni, | |
|
2000 Oakbrook Ctr, Oak Brook, IL 60523-9002 | |
| (630) 203-5458 | |
| Not Available |
| Full Name | Shane Bruni |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 2000 Oakbrook Ctr, Oak Brook, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285330886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.013965 (Illinois) | Primary |
| Provider Name | Active Wellness LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902162662 PECOS PAC ID: 3072752864 Enrollment ID: O20130627000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Bruni, 3s266 Briarwood Dr, Warrenville, IL 60555-2623 Ph: (630) 779-8658 | Shane Bruni, 2000 Oakbrook Ctr, Oak Brook, IL 60523-9002 Ph: (630) 203-5458 |
Dr. Matthew Ryan Greenberg, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1100 Jorie Blvd Ste 318, Oak Brook, IL 60523 Phone: 630-828-2271 |
Preston Stevens, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2210 Camden Ct Ste 1e, Oak Brook, IL 60523 Phone: 630-791-5263 |
Zjoint Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2100 Clearwater Dr Ste 100, Oak Brook, IL 60523 Phone: 630-448-0923 Fax: 309-581-5281 |
Dr. Kevin M. Connolly, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 900 Jorie Blvd, Suite 104, Oak Brook, IL 60523 Phone: 630-574-0422 Fax: 630-574-1002 |
Dr. Brian Rutecki, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2625 Butterfield Rd, Ste 301n, Oak Brook, IL 60523 Phone: 630-320-6400 Fax: 630-701-1007 |
Carlette Martin, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2210 Camden Ct, Oak Brook, IL 60523 Phone: 630-468-1820 Fax: 630-701-1007 |
Mustafa Syed, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2210 Camden Ct, Oak Brook, IL 60523 Phone: 630-468-1824 |