Individual
TIMOTHY MARK RUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2000
(618) 498-2101
(618) 498-2787
Mailing address
390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2000
(618) 498-7518
(618) 498-3052
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036127379
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11181118
CAQH ID
—
Enumeration date
06/02/2006
Last updated
11/25/2024
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