Provider Demographics
NPI:1932598448
Name:RUOF CHIROPRACTIC INC
Entity Type:Organization
Organization Name:RUOF CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUOF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-423-1440
Mailing Address - Street 1:10250 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-4602
Mailing Address - Country:US
Mailing Address - Phone:708-423-1440
Mailing Address - Fax:708-423-1909
Practice Address - Street 1:10250 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-4602
Practice Address - Country:US
Practice Address - Phone:708-423-1440
Practice Address - Fax:708-423-1909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036011589111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF100193621Medicare PIN