Individual
DR. JOHN DANIEL RUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
614 SPRING ST, PEORIA, IL 61603-4133
(309) 637-3668
(309) 637-2325
Mailing address
614 SPRING ST, PEORIA, IL 61603-4133
(309) 637-3668
(309) 637-2325
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
016003701
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016003701
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003701
—
IL
01
—
1386802775
CENTRAL ILLINOIS NERVE TESTING LTD
IL
01
—
1588813133
PEORIA PODIATRY GROUP PC
IL
Enumeration date
07/14/2005
Last updated
07/24/2009
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