| NPI | 1386802775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D RUFF Dr 309-691-1727 |
| Organization Subpart ? | |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: IL 016003701) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: IL 016003701) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-09-19 |