Brenda Ruiz
Nurse Practitioner Nurse Practitioner - Family Medicine
1333 W Belmont Ave Ste 100
Chicago
, Illinois 60657-5785
Brenda Ruiz
Nurse Practitioner Nurse Practitioner - Family Medicine
1333 W Belmont Ave Ste 100
Chicago
, Illinois 60657-5785
(312) 694-1875
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Brenda Ruiz
- 1333 W Belmont Ave Ste 100
- Chicago, IL
- Zip : 60657-5785
- Fax : (312) 694-1875
- Phone : (312) 694-2273
Second Address
- Brenda Ruiz
- 1333 W Belmont Ave Ste 100
- Chicago, IL
- Zip : 60657-5785
- Fax : (312) 694-1875
- Phone : (312) 694-2273
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Is Brenda Ruiz a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209019105 | IL |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 209019105 | IL |
National Provider Identifier
| NPI | 1003374182 |
|---|---|
| Provider Name | Brenda Ruiz |
| First Address | Chicago, IL 60657-5785 |
| Second Address | Chicago, IL 60657-5785 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2019 |
| Last Update Date | 08/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.