Individual
DR. FRED W. RUHE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
21104 WASHINGTON PKWY, BROOKSIDE OFFICE COURT, FRANKFORT, IL 60423
(815) 277-2442
(815) 277-2448
Mailing address
21104 WASHINGTON PKWY, BROOKSIDE OFFICE COURT, FRANKFORT, IL 60423
(815) 277-2442
(815) 277-2448
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038006192
IL
111NI0900X
Internist Chiropractor
Primary
038006192
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06182296
BLUE CROSS BLUE SHIELD
IL
01
—
350019072
RAILROAD MEDICARE
—
Enumeration date
08/26/2005
Last updated
06/07/2010
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