Individual
ROCIO DEL VALLE RUIZ DUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
18761 CHESTNUT CT, MOKENA, IL 60448-9501
(786) 448-9020
Mailing address
4516 PARK AVE, BROOKFIELD, IL 60513-2467
(319) 800-3211
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
238000815
IL
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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