Individual provider · Type 1 NPI

Bruce Marc Bissonnette, MD

Specialist · Chicago, IL

NPI number 1255402673 Active

Practice location

5841 S Maryland Ave, Mc 4076 M-410
Chicago, IL 60637-1447

Call (773) 702-8597 Map

Fax (773) 702-2182

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255402673

Bruce Marc Bissonnette, MD's National Provider Identifier is 1255402673, issued on Nov 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.