Individual provider · Type 1 NPI
Brad W. Brucker
Professional Counselor · Chicago, IL
NPI number
1487511069
Active
Practice location
3331 W Berteau Ave Apt 2A
Chicago, IL 60618-2346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.022866 (IL) |
Professional Counselor: Definition to come...
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About NPI 1487511069
Brad W. Brucker's National Provider Identifier is 1487511069, issued on Jan 6, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jul 21, 2026.