Individual
ELLIS RUFFOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1611 W HARRISON ST STE 550, CHICAGO, IL 60612-4861
(312) 942-6100
Mailing address
1611 W HARRISON ST STE 550, CHICAGO, IL 60612-4861
(312) 942-6100
(312) 942-6225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041465528
IL
363L00000X
Nurse Practitioner
Primary
209.031963
IL
Other
Enumeration date
03/05/2025
Last updated
03/18/2025
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