Individual
DR. RICHARD MARTIN MRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 BIESTERFIELD RD, SUITE 110, ELK GROVE VILLAGE, IL 60007-3392
(847) 364-0040
(847) 364-0618
Mailing address
901 BIESTERFIELD RD, SUITE 110, ELK GROVE VILLAGE, IL 60007-3392
(847) 364-0040
(847) 364-0618
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036050852
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050852
—
IL
Enumeration date
02/12/2007
Last updated
06/03/2015
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