Basic Information
| Provider Information | |||||||||
| NPI: | 1720210875 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BRUSZER | ||||||||
| FirstName: | MICHELLE | ||||||||
| MiddleName: | JANETTE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | AU.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 215 SHUMAN BLVD | ||||||||
| Address2: | STE 401 | ||||||||
| City: | NAPERVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605638458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6303035380 | ||||||||
| FaxNumber: | 9783136824 | ||||||||
| Practice Location | |||||||||
| Address1: | 111 N WABASH AVE | ||||||||
| Address2: | STE 1618 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606023049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3122510100 | ||||||||
| FaxNumber: | 3122510123 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2009 | ||||||||
| LastUpdateDate: | 07/31/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 147.001444 | IL | Y | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | AU2755 | CA | N | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.