Dr Michelle Ruano, MD | |
15 Tower Ct Ste 100, Gurnee, IL 60031-3336 | |
(847) 244-1375 | |
Not Available |
Full Name | Dr Michelle Ruano |
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Gender | Female |
Speciality | Pediatrics |
Location | 15 Tower Ct Ste 100, Gurnee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275095093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125073989 (Illinois) | Secondary |
208000000X | Pediatrics | 036-160866 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
---|---|
Dr Michelle Ruano, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Dr Michelle Ruano, MD 15 Tower Ct Ste 100, Gurnee, IL 60031-3336 Ph: (847) 244-1375 |
Mrs. Wendy Jane Lotts, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15 Tower Ct, Suite 100, Gurnee, IL 60031 Phone: 847-244-1375 Fax: 847-244-1002 | |
Dr. Marlene Juco Tanquilut, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 South Greenleaf St, Suite E, Gurnee, IL 60031 Phone: 847-336-0770 Fax: 847-336-0159 | |
Mrs. Sara Parvinian, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Tower Ct, Ste 100, Gurnee, IL 60031 Phone: 847-244-1375 Fax: 847-244-1002 | |
Dr. Nandini Upadhyay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15 Tower Ct, Ste 100, Gurnee, IL 60031 Phone: 847-244-1375 Fax: 847-244-1002 | |
Dr. Albino Tirao Bismonte, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 S Greenleaf St, Suite E, Gurnee, IL 60031 Phone: 847-336-0770 Fax: 847-336-0159 | |
Ms. Alma Guzman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Tower Ct, Suite 150, Gurnee, IL 60031 Phone: 847-623-4464 Fax: 847-623-9984 |