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NPI Code Detail

MEDICARE: ELVIRA RUIZ GARATE NP

MEDICARE:   ELVIRA  RUIZ GARATE  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209.034534IL
2363LF0000XFamily Nurse Practitioner248536WI

General Provider Information

NPI Number : 1184494213
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELVIRA RUIZ GARATE NP
Provider Business Mailing Address
First Line : PO BOX 746715
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6715
Country : US
Telephone Number : 773-776-4471
Fax Number : 773-564-3510
Provider Business Practice Location Address
First Line : 3348 W 87TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60652-3767
Country : US
Telephone Number : 773-776-4471
Fax Number : 773-564-3510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2024
Last Update Date : 01/29/2026

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Directions to “ ELVIRA RUIZ GARATE NP” Practice Location

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