Individual
DR. RUTH ANN GRIGGS NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
850 N LAKE SHORE DR, UNIT 716, CHICAGO, IL 60611-6324
(318) 737-9724
Mailing address
850 N LAKE SHORE DR, UNIT 716, CHICAGO, IL 60611-6324
(318) 737-9724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029782
IL
1223G0001X
General Practice Dentistry
4484
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019.029782
STATE OF ILLINOIS-DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
01/01/2007
Last updated
09/27/2014
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