Individual
SEAN MICHAEL RUANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
21205 OWENS RD STE 100, MOKENA, IL 60448-2023
(815) 300-2273
Mailing address
21205 OWENS RD STE 100, MOKENA, IL 60448-2023
(708) 346-4044
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085006193
IL
Other
Enumeration date
06/15/2017
Last updated
10/07/2021
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