Provider Demographics
NPI:1083839963
Name:RUIZ, CLAUDIA (LCPC)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:RUIZ
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N WABASH AVE
Mailing Address - Street 2:STE 1319
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1903
Mailing Address - Country:US
Mailing Address - Phone:312-217-7544
Mailing Address - Fax:312-268-6562
Practice Address - Street 1:1300 W BELMONT AVE
Practice Address - Street 2:STE 316
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-3200
Practice Address - Country:US
Practice Address - Phone:312-217-7544
Practice Address - Fax:312-268-6562
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006563101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL178-003465OtherLPC