BRIAN G G BULLOCK
NPI 1407406002
Massage Therapist in Morton Grove, IL

Active since September 16, 2019
9000 WAUKEGAN RD STE 100, MORTON GROVE, IL 60053(847) 779-6050(847) 929-1167 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian G G Bullock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN G G BULLOCK (NPI 1407406002) is an individual massage therapist in Morton Grove, Illinois, licensed in Illinois (227.003818) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1407406002
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameBRIAN G G BULLOCK
Location Address9000 WAUKEGAN RD STE 100Morton Grove, IL 60053-2128
Mailing Address9000 Waukegan Rd Ste 100Morton Grove, IL 60053-2128 · (847) 779-6050 · Fax (847) 929-1167
Fax(847) 929-1167
Sole ProprietorNo
Enumeration DateSeptember 16, 2019
NPI 1407406002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in IL · 227.003818
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
9000 WAUKEGAN RD STE 100, Morton Grove, IL 60053

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
9000 WAUKEGAN RD STE 100
MORTON GROVE, IL 60053
Physical Therapy Assistant
9000 WAUKEGAN RD STE 100
MORTON GROVE, IL 60053
Physical Therapist
9000 WAUKEGAN RD STE 100
MORTON GROVE, IL 60053
Physical Therapist
9000 WAUKEGAN RD STE 100
MORTON GROVE, IL 60053
Physical Therapist
9000 WAUKEGAN RD STE 100
MORTON GROVE, IL 60053
Physical Therapist
9000 WAUKEGAN RD STE 100
MORTON GROVE, IL 60053
Physical Therapist
9000 WAUKEGAN RD STE 100
MORTON GROVE, IL 60053
Physical Therapist
9000 WAUKEGAN RD STE 100
MORTON GROVE, IL 60053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian G Bullock's NPI number?

The NPI number for Brian G Bullock is 1407406002. It was assigned to this individual provider in the NPPES registry on September 16, 2019.

Where is Brian G Bullock located?

Brian G Bullock practices at 9000 Waukegan Rd Ste 100, Morton Grove, IL 60053. The listed phone number is (847) 779-6050.

What is Brian G Bullock's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Brian G Bullock was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.