Individual
JONATHAN RUOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8455 OAK PARK AVE, BURBANK, IL 60459-2368
(708) 548-7629
Mailing address
8455 OAK PARK AVE, BURBANK, IL 60459-2368
(708) 548-7629
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000696
IL
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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