Individual
OFELIA S RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-3043
(312) 770-2000
Mailing address
1S280 SUMMIT AVE, COURT A1, OAKBROOK TERRACE, IL 60181-3936
(630) 418-3215
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036100777
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634127
BCBS IL
IL
05
—
036100777
—
IL
01
—
P00197434
RAILROAD MEDICARE
—
Enumeration date
10/05/2006
Last updated
07/31/2018
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