Individual
TIMOTHY MORALES-RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10035 GRAND AVE FL 3, FRANKLIN PARK, IL 60131-2500
(847) 260-8860
Mailing address
10035 GRAND AVE FL 3, FRANKLIN PARK, IL 60131-2500
(847) 260-8860
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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