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

Dr. Phillip T Marucha, DMD

Individual provider Dentist · NPI 1093923658

Dr. Phillip T Marucha, DMD is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
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

801 S Paulina St # MC859
Chicago, IL 60612-7210
Phone: (312) 413-4467
Fax: (312) 996-0943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IL)

Record details

NPI number1093923658
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESJuly 8, 2007
Mailing address801 S Paulina St # Mc859, Chicago, IL 60612-7210

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