Individual
DR. REEVA SHULRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3700 S WALLACE ST, CHICAGO, IL 60609-1745
(773) 247-1900
Mailing address
3700 S WALLACE ST, CHICAGO, IL 60609-1745
(773) 247-1900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-068262
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-068262
—
IL
Enumeration date
01/26/2007
Last updated
11/17/2011
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