Provider Demographics
NPI:1578772836
Name:PAUL RUZILA D.C. LTD.
Entity Type:Organization
Organization Name:PAUL RUZILA D.C. LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:RUZILA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:312-212-1150
Mailing Address - Street 1:850 S WABASH AVE
Mailing Address - Street 2:STE 290
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3641
Mailing Address - Country:US
Mailing Address - Phone:312-212-1150
Mailing Address - Fax:312-212-1160
Practice Address - Street 1:850 S WABASH AVE
Practice Address - Street 2:STE 290
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-3641
Practice Address - Country:US
Practice Address - Phone:312-212-1150
Practice Address - Fax:312-212-1160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherFEDERAL EIN