Individual
DR. MICHAEL R RUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
320 E VETERANS PKWY, YORKVILLE, IL 60560
(630) 882-8844
(630) 882-8535
Mailing address
320 E VETERANS PKWY, YORKVILLE, IL 60560-1767
(630) 882-8844
(630) 882-8535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019024771
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019-024771
DENTAL LISCENCE
IL
05
—
33796800
—
WI
Enumeration date
08/21/2006
Last updated
05/23/2018
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