Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marisa Rugino, DMD

Individual provider General Practice Dentistry · NPI 1265992051

Dr. Marisa Rugino, DMD is a General Practice Dentistry in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1545 W North Ave
Chicago, IL 60642-2530
Phone: (312) 584-0355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019032288 (IL)

Record details

NPI number1265992051
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

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