IndividualActive
Adam Bruinius
NPI 1619612264 · Certified Registered Nurse Anesthetist · Joliet, IL
Provider details
- NPI number
- 1619612264
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 209.025456 (IL)
Mailing address
9534 S Spaulding Ave
Evergreen Park, IL 60805-2242
Registry dates
- Enumerated
- 2022-04-28
- Last updated
- 2022-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.