Individual
DR. NICHOLAS J RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
870 N CONVENT ST, BOURBONNAIS, IL 60914-1300
(815) 217-9266
(815) 301-3440
Mailing address
870 N CONVENT ST, BOURBONNAIS, IL 60914-1300
(815) 217-9266
(815) 301-3440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010357
IL
Other
Enumeration date
07/08/2010
Last updated
06/30/2021
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