Ruiz, Dominador Padua
Ruiz, Dominador Padua is an sole proprietor health care provider with primary practice located at 3412 W Fullerton Ave , Chicago IL 60647-2416. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Medical Specialty is his primary health care specialty. Ruiz, Dominador Padua can be contacted via phone (773) 235-8000.Contact Information
Primary practice address
3412 W Fullerton Ave
Chicago IL 60647-2416
Phone: (773) 235-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 036-059474 | Illinois |
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 036-059474 | Illinois |
Profile Details
| NPI number | 1861524407 |
|---|---|
| LBN Legal business name | Ruiz, Dominador Padua |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Nov 19th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861524407 | NPPES |
| Illinois | Other | 1638831 | BCBS GROUP |
| Illinois | MEDICAID | 036059474 2 | BCBS GROUP |
| Illinois | Other | 1635693 | BCBS GROUP |
Popular Providers
-
Little, Lew A
2103 S Mccall Rd , Englewood FL 34224-4541 -
Payberah, Susan R
6300 W Parker Rd. Suite 225, Plano TX 75093-8102 -
Vasant, Krishna
40285 Winchester Rd Suite 102, Temecula CA 92591-5547 -
Estrada, John J
1245 Wilshire Blvd Suite 817, Los Angeles CA 90017-4808 -
Trainor, Julie Anna
148 E 38Th St , New York NY 10016-2607 -
Hochberg, John L
555 Iron Bridge Rd Ste 18, Freehold NJ 07728-2975 -
Dicarlo, Jilma Patricia
2110 Maple Ave , South Plainfield NJ 07080-4744 -
Kramer, Stuart Beryl
5530 Corbin Ave Ste 260 , Tarzana CA 91356-6030