Individual
MR. BRUCE FUGGITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8337 W LAWRENCE AVE, NORRIDGE, IL 60706-3129
(708) 583-9500
(708) 583-9501
Mailing address
6450 W BERTEAU AVE APT 306, CHICAGO, IL 60634-6243
(773) 282-5485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07000498
IL
283X00000X
Rehabilitation Hospital
070.04098
IL
Other
Enumeration date
05/22/2007
Last updated
10/02/2007
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