Individual
STEPHEN RUSKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4646 N MARINE DR FL 4, CHICAGO, IL 60640-5759
(773) 564-6025
Mailing address
2368 PAYSPHERE CIR, CHICAGO, IL 60674-2368
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
IL
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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