Individual
MORGAN RUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 E 162ND ST STE 430, SOUTH HOLLAND, IL 60473-2258
(708) 201-0058
Mailing address
634 W 14TH PL, CHICAGO HEIGHTS, IL 60411-3123
(708) 829-7191
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800407560
EARLY INTERVENTION
IL
Enumeration date
03/02/2011
Last updated
03/02/2011
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