Most Relevant Information
Provider Data
| NPI Number: | 1003374182 |
| Provider Name: | BRENDA RUIZ MSN, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209019105 |
Most Important Dates
| Enumeration Date: | 03/07/2019 |
| Last Updated: | 12/08/2021 |
Provider Practice Location
1333 W BELMONT AVE STE 100
CHICAGO
IL
606575785
Practice Location Phone/Fax
| Phone: | 3126942273 |
| Fax: | 3126941875 |
Provider Mailing Location
1333 W BELMONT AVE STE 100
CHICAGO
IL
606575785
Provider Mailing Phone/Fax
| Phone: | 3126942273 |
| Fax: | 3126941875 |