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DR. DOMINADOR PADUA RUIZ M.D. NPI 1861524407


NPI Information

NPI: 1861524407
Provider Name: DR. DOMINADOR PADUA RUIZ, M.D.
Classification: Clinic/Center - 261QM2500X
Entity Type: Individual

Specialization: Medical Specialty

Address:
3412 W FULLERTON AVE
CHICAGO, IL
ZIP 60647
Phone: (773) 235-8000
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DR. Dominador Padua Ruiz, M.D. is a medical specialty clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DR. Dominador Padua Ruiz, M.D. NPI is 1861524407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3412 W FULLERTON AVE
CHICAGO, IL
ZIP 60647-416
Phone: (773) 235-8000

The enumeration date for this NPI number is 3/9/2007 and was last updated on 11/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical036-059474ILLINOISNo
2261QM2500XClinic/CenterMedical Specialty036-059474ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11638831OTHERILLINOISBCBS GROUP
2036059474 2MEDICAIDILLINOIS
31635693OTHERILLINOISBCBS
4D93843MEDICARE UPINILLINOIS
5K17906MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.