Individual
ANDY RUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 LARKIN AVE, ELGIN, IL 60123-5947
(847) 695-1158
Mailing address
9415 HARRISON ST, DES PLAINES, IL 60016-1542
(773) 931-4262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051292971
IL
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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