Individual
ITZEL RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 W NEW YORK ST, AURORA, IL 60506-3825
(630) 240-7978
Mailing address
1140 N MCLEAN BLVD STE I, ELGIN, IL 60123-1782
(847) 965-3680
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3520058946
—
IL
Enumeration date
08/03/2021
Last updated
08/03/2021
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