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Organization

RUIZ PSYCHOLOGICAL SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA RUIZ M.A, LCPC (PSYCHOTHERAPIST)
(847) 636-9836
Entity
Organization

Contact information

Practice address
6232 N PULASKI RD, CHICAGO, IL 60646-5132
(312) 451-6157
Mailing address
701 PIPER LN, PROSPECT HEIGHTS, IL 60070-3613
(847) 636-9836

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180.009660
IL

Other

Enumeration date
01/28/2017
Last updated
01/28/2017
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