Individual
DR. NICHOLAS RUGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2518 N LINCOLN AVE, CHICAGO, IL 60614-2782
(773) 871-4664
Mailing address
845 W ALTGELD ST, APT 3A, CHICAGO, IL 60614-6451
(847) 997-9681
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029421
IL
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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