Petrucci, John
Petrucci, John is an individual health care provider with primary practice located at 328 E Army Trail Rd , Glendale Heights IL 60139. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Petrucci, John can be contacted via phone (630) 924-5579.Contact Information
Primary practice address
328 E Army Trail Rd
Glendale Heights IL 60139
Phone: (630) 924-5579
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1124184049 |
|---|---|
| LBN Legal business name | Petrucci, John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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