| Doctor Name: | MR. GERARD BREUKER |
| NPI Number: | 1992820807 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, MSC |
| License Number: | 70006130 |
| Business Practice Address: | 517 E North Street Bradley, IL - 60915 |
| Business Phone Number: | 8158027503 |
| Business Fax Number: | 8158027514 |
| Mailing Address: | 517 E North Street, BRADLEY |
| State: | IL |
| Postal Code: | 60915 |
| Phone Number: | 8158027503 |
| Fax Number: | 8158027514 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 01/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 70006130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |