# JONATHAN PATRICK RUIZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ruiz & Clamps Healthcare L. L. C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124749700
- **Authorized official:** JONATHAN P RUIZ CSFA (SURGICAL ASSISTANT)
- **Authorized official phone:** (815) 341-2599

## Contact information

- **Practice address:** 1900 LIGHT RD APT 103, OSWEGO, IL 60543-9013
- **Practice address phone:** (815) 341-2599
- **Mailing address:** 1900 LIGHT RD APT 103, OSWEGO, IL 60543-9013
- **Mailing address phone:** (815) 341-2599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2022
- **Last updated:** 10/08/2022