MR. PETER BRUKASZ


Address: 10510 S Roberts Rd, Palos Hills, IL 60465-1934
Phone: 6304017102

MR. PETER BRUKASZ (NPI# 1396728978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396728978
Entity Type Individual
Full Name MR. PETER BRUKASZ
Other Name PIOTR BRUKASZ
Credential M.D.
Practice Address 10510 S Roberts Rd
Palos Hills
IL 60465-1934
Practice Telephone 6304017102
Practice Fax Number 6305666879
Mailing Telephone 6304017102
Mailing Fax Number 6305666879
Enumeration Date 2005-11-28
Last Update Date 2017-01-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 202K00000X Phlebology 036111722 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL BCBS OF IL 01621679 01

Office Location

Street Address 10510 S ROBERTS RD
City PALOS HILLS
State IL
Zip Code 60465-1934

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619412574 The Institute for Vein Health LLC Phlebology 10510 S Roberts Rd, Palos Hills, IL 60465-1934 2017-01-03
1548569643 Laser and Cosmetic Dermatology Clinic/Center 10510 S Roberts Rd, Palos Hills, IL 60465-1934 2011-03-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306368774 Cuttings Edge Medical Transit, Inc. Non-emergency Medical Transport (VAN) 10612 S Roberts Rd, Suite 10, Palos Hills, IL 60465 2017-07-07
1447781653 Zain Rehman Registered Nurse 10571 Palos Pl, Unit A, Palos Hills, IL 60465 2017-03-21
1770956476 Judita Slusnys Nurse Practitioner 11051 S. 84th Ave, Palos Hills, IL 60465 2015-11-04
1154755098 Catherine D Moore Counselor 9962 Hill Terrence Building 23 Apt 212, Palos Hill, IL 60465 2013-08-28
1770866964 Dominika Sekulska Counselor 10537 South Roberts Road, Palos Hills, IL 60465 2011-09-23
1851686950 Metropolitan Family Services Community Based Residential Treatment Facility, Mental Illness 10537 Roberts Road, Palos Hill, IL 60465 2011-06-16
1205129764 Zbigniev Durlak Preventive Medicine 9930 Stratford L, Palos Hills, IL 60465 2011-05-17
1962562322 James D Michalarias Dentist 9900 S Roberts Rd, Palos Hills, IL 60465 2006-12-08
1912072729 Illinois Wisconsin Sertoma Regional Center for Communicative Disorders Speech-Language Pathologist 10409 South Roberts Road, Palos Hills, IL 60465 2006-11-21
1831201235 William George Revethis Internal Medicine 10400 Roberts Rd, Suite B, Palos Hills, IL 60465 2006-08-31
Find all providers in zip 60465

Taxonomy Information

Taxonomy Code 202K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Phlebology

Taxonomy Definition

Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.
Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619412574 The Institute for Vein Health LLC Phlebology 10510 S Roberts Rd, Palos Hills, IL 60465-1934 2017-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154602043 Mvc-chicago, S.c. Phlebology 680 N Lake Shore Dr Suite 104, Chicago, IL 60673-1050 2011-09-06
1053511840 Sw Suburban - Midwest Vascular Center, S. C. Phlebology 10755 W 143rd St, Orland Park, IL 60462-1900 2007-07-20
1447343090 Chicago Vein Institute S.c. Phlebology 4906 N. Western Ave., Suite 2, Chicago, IL 60625 2006-10-02
1194751156 Kathryn Sue Bohn Phlebology 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 2006-06-23
1154378040 Illinois Phlebology Associates Sc Phlebology 14225 S 95th Ave Ste 455, Orland Park, IL 60462-2266 2006-05-27
1457311524 Stephen Carl Sorenson Phlebology 795 Ela Rd Ste 115, Lake Zurich, IL 60047 2006-03-24
1457711269 Lake County Vein Specialists, Sc Phlebology 1425 N Hunt Club Rd, Suite 202, Gurnee, IL 60031-2632 2016-03-07
1255603247 Grand Vein Specialists LLC Phlebology 1508 Grand Ave, Waukegan, IL 60085-3653 2012-02-06
1083916845 Mir Joffrey Md, LLC Phlebology 1100 E Woodfield Rd, Suite 140, Schaumburg, IL 60173-5116 2010-11-30
1063652873 Innovamed Veins Sc Phlebology 2601 N Main St, Rockford, IL 61103-3110 2009-03-06
Find all providers with the same taxonomy

Competitor

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City PALOS HILLS
Zip Code 60465

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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