Provider Demographics
NPI:1982396339
Name:MORALES-FLORES, RUTH (PT)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:MORALES-FLORES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4777
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60522-4777
Mailing Address - Country:US
Mailing Address - Phone:573-307-0500
Mailing Address - Fax:888-371-0337
Practice Address - Street 1:9519 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-1211
Practice Address - Country:US
Practice Address - Phone:847-390-0999
Practice Address - Fax:847-390-0949
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.027440225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist