| Chang Ruttencutter Pc | |
|
9147 Waukegan Rd Morton Grove IL 60053-2120 | |
| (312) 952-7005 | |
| Not Available |
| Full Name | Chang Ruttencutter Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9147 Waukegan Rd, Morton Grove, Illinois |
| Authorized Official Name and Position | Jeffrey Ruttencutter (PRESIDENT) |
| Authorized Official Contact | 3129527005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chang Ruttencutter Pc 845 Wagner Rd C/o Jeff Ruttencutter Glenview IL 60025 Ph: (312) 952-7005 | Chang Ruttencutter Pc 9147 Waukegan Rd Morton Grove IL 60053-2120 Ph: (312) 952-7005 |
| NPI Number | 1336954502 |
|---|---|
| Provider Enumeration Date | 02/12/2025 |
| Last Update Date | 02/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336954502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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