| Gina Ruane Prof Corp | |
|
478 Pennsylvania Ave Ste 202 Glen Ellyn IL 60137-4425 | |
| (630) 474-0540 | |
| Not Available |
| Full Name | Gina Ruane Prof Corp |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 478 Pennsylvania Ave Ste 202, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Gina Luciana Ruane (THERAPIST AND OWNER) |
| Authorized Official Contact | 6308159354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Ruane Prof Corp 478 Pennsylvania Ave Ste 202 Glen Ellyn IL 60137-4425 Ph: (630) 474-0540 | Gina Ruane Prof Corp 478 Pennsylvania Ave Ste 202 Glen Ellyn IL 60137-4425 Ph: (630) 474-0540 |
| NPI Number | 1013638873 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 09/08/2022 |
| Certification Date | 09/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013638873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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