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Individual

DR. JAKE RUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
180 S MAIN ST, CANTON, IL 61520-2608
(096) 470-2013
(309) 649-6880
Mailing address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016005671
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005671
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016005671
ILLINOIS LICENSE
IL
Enumeration date
06/23/2014
Last updated
08/23/2021
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