Organization
FJ WALL MD & WILLIAM J RUFF MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J RUFF M.D. (PHYSICIAN)
(708) 361-8449
Entity
Organization
Contact information
Practice address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 361-8449
(708) 361-8469
Mailing address
2800 W 87TH ST, CHICAGO, IL 60652-3831
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615630
BCBS OF IL
IL
01
—
DE1040
RAILROAD MEDICARE
IL
Enumeration date
12/06/2006
Last updated
01/22/2008
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