| Gabriel Ruiz, Lcpc, Llc | |
|
111 N Wabash Ave Suite 1319 Chicago IL 60602-1903 | |
| (312) 665-0053 | |
| (708) 231-7541 |
| Full Name | Gabriel Ruiz, Lcpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 111 N Wabash Ave, Chicago, Illinois |
| Authorized Official Name and Position | Gabriel Ruiz (OWNER AND MANAGER) |
| Authorized Official Contact | 3126650053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel Ruiz, Lcpc, Llc 111 N Wabash Ave Suite 1319 Chicago IL 60602-1903 Ph: (312) 665-0053 | Gabriel Ruiz, Lcpc, Llc 111 N Wabash Ave Suite 1319 Chicago IL 60602-1903 Ph: (312) 665-0053 |
| NPI Number | 1336384718 |
|---|---|
| Provider Enumeration Date | 12/12/2008 |
| Last Update Date | 12/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336384718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180004827 (Illinois) | Primary |
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