Search › Illinois › 122300000X
Kevin Bruggeman, DDS
NPI 1275606287 · on the registry since 2006
Practice
- Address
- 17 S Virginia Road
Crystal Lake, IL 60014 - Phone
- (815) 455-3123
- Fax
- (815) 455-3139
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois