Dr. Mary Patrice Struziak, DMD
Dentist, General Practice in Chicago, IL. Individual provider (NPI-1).
NPI number1164083390
StatusActive
Last updated in NPPESJun 27, 2019
Details
- NPI
- 1164083390
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary Patrice Struziak
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2019
- Last updated
- Jun 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019032207 | IL | Yes |
Practice location
30 N Michigan Ave Ste 1405Chicago, IL 60602-4090
Phone 312-263-7822
Mailing address
30 N Michigan Ave Ste 1405Chicago, IL 60602-4090
Phone 312-263-7822
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