Individual
ANGEL RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
18761 CHESTNUT CT, MOKENA, IL 60448-9501
(786) 448-9020
Mailing address
18761 CHESTNUT CT, MOKENA, IL 60448-9501
(786) 448-9020
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
238.000847
IL
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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