| Helene M. Ruiz-pla Md Sc | |
|
1835 Broadway St Suite 103 Melrose Park IL 60160-2040 | |
| (708) 345-5272 | |
| (708) 345-5282 |
| Full Name | Helene M. Ruiz-pla Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1835 Broadway St, Melrose Park, Illinois |
| Authorized Official Name and Position | Helene Marie Ruiz-pla (PRESIDENT) |
| Authorized Official Contact | 7083455272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Helene M. Ruiz-pla Md Sc 1835 Broadway St Suite 103 Melrose Park IL 60160-2040 Ph: (708) 345-5272 | Helene M. Ruiz-pla Md Sc 1835 Broadway St Suite 103 Melrose Park IL 60160-2040 Ph: (708) 345-5272 |
| NPI Number | 1285986372 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 10/12/2012 |
| Medicare PECOS PAC ID | 0648417121 |
|---|---|
| Medicare Enrollment ID | O20130501000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285986372 | NPI | - | NPPES |
| 1922171750 | Other | IL | NPI |
| 20013434 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036079717 (Illinois) | Primary |
| Provider Name | Helene M Ruiz Pla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922171750 PECOS PAC ID: 7517922560 Enrollment ID: I20041201000579 |
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