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Individual

DR. JANEIL NELLIS RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
2950 W CHICAGO AVE, SUITE 302 C, CHICAGO, IL 60622-4375
(773) 627-2112
Mailing address
1333 N ARTESIAN AVE, #2, CHICAGO, IL 60622-2935
(773) 627-2112

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008116
IL

Other

Enumeration date
09/30/2007
Last updated
11/14/2011
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