Individual
DR. ALDO CARMEN RUFFOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
907 W LINCOLN AVE, CHARLESTON, IL 61920-2413
(217) 345-2100
(217) 345-8366
Mailing address
907 W LINCOLN AVE, PO BOX 770, CHARLESTON, IL 61920-2413
(312) 576-4285
(217) 345-8366
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036100163
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100163
—
IL
Enumeration date
09/13/2005
Last updated
09/03/2020
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