Individual
RICARDO RUVALCABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RSA
Contact information
Practice address
19015 S JODI RD STE H, MOKENA, IL 60448-8534
(798) 995-5418
(832) 804-8886
Mailing address
19015 S JODI RD STE H, MOKENA, IL 60448-8534
(798) 995-5418
(832) 804-8886
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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