Individual
DR. ELIZABETH RUTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
938 W NELSON ST, CHICAGO, IL 60657-6704
(773) 296-3258
Mailing address
2630 N MILDRED AVE, CHICAGO, IL 60614-2319
(773) 248-0948
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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