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NPI Code Detail

MEDICARE: JUAN PABLO RUIZ M.D

MEDICARE: JUAN PABLO RUIZ M.D
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
1207RN0300XNephrology Physician036127114IL

General Provider Information

NPI Number : 1588972343
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN PABLO RUIZ M.D
Provider Business Mailing Address
First Line : 120 W 22ND ST STE 200
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1563
Country : US
Telephone Number : 630-575-5000
Fax Number :
Provider Business Practice Location Address
First Line : 2222 W DIVISION ST STE 260
Second Line :
City : CHICAGO
State : IL
Zip : 60622-2990
Country : US
Telephone Number : 773-489-6605
Fax Number : 872-829-3663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2010
Last Update Date : 06/01/2022

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Directions to “ JUAN PABLO RUIZ M.D” Practice Location

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