Individual
JAMES R RUPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
834 N SEMINARY ST, STE 103, GALESBURG, IL 61401-2852
(309) 829-5311
(309) 827-8027
Mailing address
1008 N MAIN ST, BLOOMINGTON, IL 61701-1784
(309) 829-5311
(309) 827-8027
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036064075
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064075
—
IL
01
—
180041717
RAILROAD MEDICARE
IL
Enumeration date
06/20/2005
Last updated
07/06/2016
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