Provider Demographics
NPI:1548384092
Name:RUDER, MAUREEN ELLEN (MD)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:ELLEN
Last Name:RUDER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1111 SUPERIOR ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-4138
Mailing Address - Country:US
Mailing Address - Phone:708-406-3040
Mailing Address - Fax:708-406-3059
Practice Address - Street 1:1111 SUPERIOR ST
Practice Address - Street 2:SUITE 207
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-4138
Practice Address - Country:US
Practice Address - Phone:708-406-3040
Practice Address - Fax:708-406-3059
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2019-12-26
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Provider Licenses
StateLicense IDTaxonomies
IL036065525207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology