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NPI Code Detail

MEDICARE: BRENDA RUIZ ARAGON

MEDICARE: BRENDA RUIZ ARAGON
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
1103TC1900XCounseling Psychologist

General Provider Information

NPI Number : 1831979079
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA RUIZ ARAGON
Provider Business Mailing Address
First Line : 6800 S BELL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60636-3137
Country : US
Telephone Number : 773-987-7729
Fax Number :
Provider Business Practice Location Address
First Line : 212 S MARION ST
Second Line :
City : OAK PARK
State : IL
Zip : 60302-3257
Country : US
Telephone Number : 312-415-5507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2023
Last Update Date : 05/30/2026

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Directions to “ BRENDA RUIZ ARAGON ” Practice Location

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