Individual
JONATHAN P RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
1900 LIGHT RD APT 103, OSWEGO, IL 60543-9013
(815) 341-2599
Mailing address
1900 LIGHT RD APT 103, OSWEGO, IL 60543-9013
(815) 341-2599
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
238000706
IL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
07/18/2023
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