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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EZRA BRUCK
NPI 1619872629
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since October 09, 2026
4141 N KEDZIE AVE, CHICAGO, IL 60618(773) 754-0577 Get Directions Write a Review

NPPES record added: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Ezra Bruck NPPES

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

EZRA BRUCK (NPI 1619872629) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1619872629
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameEZRA BRUCK
Location Address4141 N KEDZIE AVEChicago, IL 60618-2477
Mailing Address4141 N Kedzie AveChicago, IL 60618-2477
Phone(773) 754-0577
Sole ProprietorNo
Enumeration DateOctober 9, 2026
NPPES CertifiedOctober 9, 2026
✔ NPI 1619872629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4141 N KEDZIE AVE, Chicago, IL 60618
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Other Providers at the Same Location NPPES 7

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

FARRAH RAQUEL SKLAR
Counselor (Mental Health)
4141 N KEDZIE AVE
CHICAGO, IL 60618
Cook County (773) 754-0577
WILLIAM BARTZ MSW, LCSW
Social Worker (Clinical)
4141 N KEDZIE AVE
CHICAGO, IL 60618
Cook County (773) 754-0577
MS. REBECCA C BURWELL MA, PHD
Counselor (Mental Health)
4141 N KEDZIE AVE
CHICAGO, IL 60618
Cook County (773) 754-0577
CECELIA QUINN L.C.S.W.
Social Worker (Clinical)
4141 N KEDZIE AVE, STE. #2
CHICAGO, IL 60618
Cook County (773) 754-0577
ITZEL PEREZ
Student in an Organized Health Care Education/Training Program
4141 N KEDZIE AVE
CHICAGO, IL 60618
Cook County (773) 754-0577
EXPANDED MENTAL HEALTH SERVICES OF CHICAGO NFP
Community/Behavioral Health
4141 N KEDZIE AVE, SUITE 2
CHICAGO, IL 60618
Cook County (773) 754-0577
MICHELLE DEL CARMEN LOPEZ
Student in an Organized Health Care Education/Training Program
4141 N KEDZIE AVE
CHICAGO, IL 60618
Cook County (773) 754-0577

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 Ezra Bruck's NPI number?

The NPI number for Ezra Bruck is 1619872629. It was assigned to this individual provider in the NPPES registry on October 9, 2026.

Where is Ezra Bruck located?

Ezra Bruck practices at 4141 N Kedzie Ave, Chicago, IL 60618. The listed phone number is (773) 754-0577.

What is Ezra Bruck's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ezra Bruck was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.