Provider Demographics
NPI:1609678754
Name:DEBRUZZI, KRISTI
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:DEBRUZZI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 N NORTHWEST HWY UNIT 504
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-3279
Mailing Address - Country:US
Mailing Address - Phone:847-922-5882
Mailing Address - Fax:
Practice Address - Street 1:50 N NORTHWEST HWY UNIT 504
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-3279
Practice Address - Country:US
Practice Address - Phone:847-922-5882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program