Provider Demographics
NPI:1902185242
Name:RUFFIN, ELEANOR PATRICIA (BS MA)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:PATRICIA
Last Name:RUFFIN
Suffix:
Gender:F
Credentials:BS MA
Other - Prefix:
Other - First Name:ELEANOR
Other - Middle Name:PATRICIA
Other - Last Name:HOOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1933 REDWOOD LN
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-3626
Mailing Address - Country:US
Mailing Address - Phone:808-225-0988
Mailing Address - Fax:
Practice Address - Street 1:1933 REDWOOD LN
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-3626
Practice Address - Country:US
Practice Address - Phone:808-225-0988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist