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NPI Code Detail

MEDICARE: MRS. CATALINA RUIZ APN

MEDICARE: MRS. CATALINA RUIZ APN
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
1363L00000XNurse PractitionerIL

General Provider Information

NPI Number : 1366426553
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATALINA RUIZ APN
Provider Business Mailing Address
First Line : 1431 N WESTERN AVE
Second Line : SUITE #406
City : CHICAGO
State : IL
Zip : 60622-1797
Country : US
Telephone Number : 312-633-5841
Fax Number : 312-491-5020
Provider Business Practice Location Address
First Line : 3924 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-2228
Country : US
Telephone Number : 773-276-2229
Fax Number : 773-276-2190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. CATALINA RUIZ APN” Practice Location

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