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Individual

MICHAEL J RUGGLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
3100 N 77TH AVE, ELMWOOD PARK, IL 60707-1111
(312) 307-6282
(888) 972-1638
Mailing address
3100 N 77TH AVE, ELMWOOD PARK, IL 60707-1111
(312) 307-6282
(888) 972-1638

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
09/03/2013
Last updated
09/03/2013
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