Individual
DR. KARIN A RUETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2603 BROADWAY AVE, 2ND FLOOR, EVANSTON, IL 60201-1501
(847) 866-7949
Mailing address
2603 BROADWAY AVE, 2ND FLOOR, EVANSTON, IL 60201-1501
(847) 866-7949
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001605067
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/20/2007
Last updated
07/08/2007
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