DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DAISY RUIZ

MEDICARE: DAISY RUIZ
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 Practitioner209032746IL

General Provider Information

NPI Number : 1194692962
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAISY RUIZ
Provider Business Mailing Address
First Line : 150 HARVESTER DR STE 300
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-5965
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5841 S MARYLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1443
Country : US
Telephone Number : 773-702-6302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2025
Last Update Date : 02/05/2026

Similar Medicare Providers

1700482908 — MS. MICHELLE M TAYLOR LCSW
Practice Location Address:
5841 S MARYLAND AVE
CHICAGO, IL
60637-1443
Practice Phone: 888-824-0200
Practice Fax:
1508447996 — MICHAEL BERKEN MD
Practice Location Address:
5841 S MARYLAND AVE
CHICAGO, IL
60637-1443
Practice Phone: 773-702-6842
Practice Fax:
1831867555 — ERIK OLSON NP
Practice Location Address:
5841 S MARYLAND AVE
CHICAGO, IL
60637-1443
Practice Phone: 888-824-0200
Practice Fax:
1952452922 — GREGORY STACY
Practice Location Address:
5841 S MARYLAND AVE
CHICAGO, IL
60637-1443
Practice Phone: 888-824-0200
Practice Fax:
1902301138 — NATHALIE ANTONIOS MD
Practice Location Address:
5841 S MARYLAND AVE
CHICAGO, IL
60637-1443
Practice Phone: 773-702-1000
Practice Fax:
1972210847 — KATHRYN GROECHEL CRNA, DNP
Practice Location Address:
5841 S MARYLAND AVE
CHICAGO, IL
60637-1443
Practice Phone: 773-702-1522
Practice Fax: 773-834-0694

Directions to “ DAISY RUIZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.