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Individual

MR. DENNIS FRUIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2929 S WABASH AVE, #101, CHICAGO, IL 60616-3243
(312) 791-3334
Mailing address
2929 S WABASH AVE, #101, CHICAGO, IL 60616-3243
(312) 791-3334

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051030963
IL
183500000X
Pharmacist
12445
NE
183500000X
Pharmacist
30787
CA

Other

Enumeration date
02/15/2011
Last updated
02/15/2011
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