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1396072641
NICHOLAS P PRUC
DES PLAINES, IL
NPI
1396072641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036084411)
Enumeration Date
2009-11-06
Last Update Date
2009-11-06
Business Address
-- NICHOLAS P PRUC d.o.
422 STRATFORD RD
DES PLAINES, IL 60016-2004
Phone number: 847-803-8156
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Mailing Address
-- NICHOLAS P PRUC d.o.
422 STRATFORD RD
DES PLAINES, IL 60016-2004
Phone number: 847-803-8156
Copy
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