Individual
MRS. DIANA RUETZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
865 N KELLOGG ST, 3RD FLOOR, GALESBURG, IL 61401-2810
(309) 343-3434
(309) 343-3456
Mailing address
PO BOX 5387, BLOOMINGTON, IL 61702-5387
(309) 661-8823
(309) 661-8801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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