Irene Elizabeth Bruckner, LMT, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

Practice address

200 N Hammes Ave
Suite 2
Joliet, IL 60435-6677

Phone

(815) 773-2301

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1629288600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16329 WEBER RD",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604416558",
            "telephone_number": "815-725-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N HAMMES AVE",
            "address_2": "SUITE 2",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356677",
            "telephone_number": "815-773-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKNER",
        "first_name": "IRENE",
        "middle_name": "ELIZABETH",
        "credential": "LMT, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calicia Brown
• Micquette Danielle Brown, RN
• Nora Brown, OT
• Ranisah Brown
• Timothy Brown, MS
• Adam Bruinius
• Thomas J Brumund, D.D.S.
• Reema Bhagat Bruner, OD
• Edward J Bruno, MD
• Lisa J Bruno, LCPC

• Registered Nurse in Joliet, IL
• Providers in Joliet, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.