Individual
DR. RAFAEL MIGUEL RUGGIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3101 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 366-1228
(217) 366-6106
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1228
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036141048
IL
Other
Enumeration date
06/03/2009
Last updated
01/06/2022
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