Individual
DR. RUTH DITZIAN-KADANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-2707
(708) 202-3633
Mailing address
1634 W POLK ST, CHICAGO, IL 60612-4352
(312) 423-4200
(312) 829-3742
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
36069150
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36069150
—
IL
Enumeration date
12/30/2005
Last updated
03/23/2018
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