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Individual

DARIA RUFFOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,MSN-CS,CCRN,ACNP

Contact information

Practice address
2160 S. FIRST AVE., MAYWOOD, IL 60153
(708) 216-9000
Mailing address
2160 S. FIRST AVE., MAYWOOD, IL 60153
(708) 216-9000

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
209001875
IL
164W00000X
Licensed Practical Nurse
041197367
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209001875
IL

Other

Enumeration date
01/28/2009
Last updated
08/24/2022
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