Dr Santi Rukvidtayasas, MD is a
Dermatology physician based in Oak Park, Illinois. Dr Santi Rukvidtayasas is licensed to practice in Illinois (license number 036-050639) and his current practice location is 7047 North Ave, Oak Park, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 383-0300.
NPI number for Dr Santi Rukvidtayasas is 1538297874 and his current mailing address is 7047 North Ave, Oak Park, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538297874.
Physician's Profile
Full Name | Dr Santi Rukvidtayasas |
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Gender | Male |
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Speciality | Dermatology |
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Location | 7047 North Ave, Oak Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538297874
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Santi Rukvidtayasas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538297874 | NPI | - | NPPES |
01615155 | Other | IL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 036-050639 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Santi Rukvidtayasas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Santi Rukvidtayasas, MD 7047 North Ave, Oak Park, IL 60302-1015 Ph: (708) 383-0300 | Dr Santi Rukvidtayasas, MD 7047 North Ave, Oak Park, IL 60302-1015 Ph: (708) 383-0300 |
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