Individual
HENRY DOUGLAS RUTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2062 N MILWAUKEE AVE, CHICAGO, IL 60647
(773) 384-3500
Mailing address
405 N WABASH AVE UNIT 3002, CHICAGO, IL 60611-5673
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033707
IL
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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