Individual
MINDY RUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 865-2141
Mailing address
1637 W 38TH PL UNIT B, CHICAGO, IL 60609-2124
(312) 969-1988
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041412727
IL
163WC0200X
Critical Care Medicine Registered Nurse
28241889A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28241889A
IN
Other
Enumeration date
06/24/2019
Last updated
09/16/2019
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