Individual
JULIA RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611-5970
(312) 695-0990
(312) 695-1106
Mailing address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611-5970
(312) 695-0990
(312) 695-1106
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017523
IL
363LF0000X
Family Nurse Practitioner
209017523
IL
Other
Enumeration date
03/01/2018
Last updated
08/05/2021
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