IndividualActive
Bruce Brockstein, MD
NPI 1740349695 · Medical Oncology Physician · Evanston, IL
Provider details
- NPI number
- 1740349695
- Entity type
- Individual
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036086058 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2650 Ridge Ave
Kellogg Cancer Center
Evanston, IL 60201
Phone: (847) 570-2112
Fax: (847) 570-1041
Approximate (ZIP-level) locationGet directions
Mailing address
2650 Ridge Ave
Evanston, IL 60201-1718
Registry dates
- Enumerated
- 2006-12-07
- Last updated
- 2020-10-13
- Certified
- 2020-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.