Individual
LINDA RUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2062 N MILWAUKEE AVE, CHICAGO, IL 60647-4002
(773) 384-3500
Mailing address
2062 N MILWAUKEE AVE, CHICAGO, IL 60647-4002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033239
IL
1223P0221X
Pediatric Dentistry
Primary
021003284
IL
Other
Enumeration date
05/12/2021
Last updated
06/09/2026
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