Individual
DR. NICHOLAS EUGENE CAPEZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
123 MCHENRY RD, BUFFALO GROVE, IL 60089-1796
(847) 459-9100
Mailing address
801 S PAULINA ST, # MC850, CHICAGO, IL 60612-7210
(847) 648-0365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019032024
IL
1223P0221X
Pediatric Dentistry
Primary
021003065
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2018
Last updated
07/16/2021
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