Individual
DR. MICHAEL A. RUCHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 118, CHICAGO, IL 60611-4546
(312) 503-6000
(312) 503-6329
Mailing address
680 N LAKE SHORE DR, SUITE 118, CHICAGO, IL 60611-4546
(312) 503-6000
(312) 503-6329
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036061908
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061908
—
IL
Enumeration date
07/12/2005
Last updated
06/30/2010
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