Individual
DR. MARISA RUGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1545 W NORTH AVE, CHICAGO, IL 60642-2530
(312) 584-0355
Mailing address
1545 W NORTH AVE, CHICAGO, IL 60642-2530
(312) 584-0355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032288
IL
Other
Enumeration date
03/20/2019
Last updated
09/20/2023
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