Individual
DR. GRETEL RUIZ JORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3010 W 26TH ST, CHICAGO, IL 60623-4128
(847) 220-4103
(847) 693-7029
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(847) 220-4103
(847) 693-7029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.130192
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036.130192
IL
Other
Enumeration date
08/03/2009
Last updated
03/12/2026
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