Individual
DR. TOHFA MANJI RUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4440 W. 95TH STREET, OUTPATIENT PAVILION 8TH FLOOR, OAK LAWN, IL 60453-2600
(708) 684-9560
(708) 520-3002
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
036.125989
IL
207Q00000X
Family Medicine Physician
036.125989
IL
2083P0901X
Public Health & General Preventive Medicine Physician
036.125989
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036125989
—
IL
01
—
1628468
BCBS PROVIDER NUMBER
IL
01
—
20020440
ILLINOIS HEALTH CONNECT
IL
01
—
209753004
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
05/16/2008
Last updated
01/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us