Individual
BENJAMIN L RUYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
15 E HAZEL DELL LN, SPRINGFIELD, IL 62712-4210
(217) 585-5437
Mailing address
15 E HAZEL DELL LN, SPRINGFIELD, IL 62712-4210
(217) 585-5437
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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