Provider Demographics
NPI:1669651683
Name:BRUEMMER, ERIC (MS)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:BRUEMMER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 N BROCKWAY ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-5097
Mailing Address - Country:US
Mailing Address - Phone:847-907-0078
Mailing Address - Fax:
Practice Address - Street 1:21 N BROCKWAY ST
Practice Address - Street 2:SUITE 208
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-5097
Practice Address - Country:US
Practice Address - Phone:847-907-0078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2015-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006657101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health