Individual
DR. GINA E BRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
607 W JEFFERSON ST, SHOREWOOD, IL 60404-3700
(815) 725-5991
(815) 725-1983
Mailing address
607 W JEFFERSON ST, SHOREWOOD, IL 60404-3700
(815) 725-5991
(815) 725-1983
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025631
IL
Other
Enumeration date
07/25/2006
Last updated
07/13/2016
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