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Individual

MRS. HELENE MARIE RUIZ PLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1835 BROADWAY, SUITE 103, MELROSE PARK, IL 60160-2040
(708) 345-5272
(708) 345-5282
Mailing address
1835 BROADWAY, SUITE103, MELROSE PARK, IL 60160-2040
(708) 345-5272
(708) 345-5282

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036074432
IL
207R00000X
Internal Medicine Physician
Primary
036079717
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0031603786
BCBS
IL
05
036079717
IL
Enumeration date
11/17/2006
Last updated
02/25/2010
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