Ruder, Henry Joseph
Ruder, Henry Joseph is an sole proprietor health care provider with primary practice located at 411 Lathrop Ave Unit 3E , River Forest IL 60305-1894. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ruder, Henry Joseph can be contacted via phone (708) 542-9359.Contact Information
Primary practice address
411 Lathrop Ave Unit 3E
River Forest IL 60305-1894
Phone: (708) 542-9359
Fax: (708) 575-0882
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036046038 | Illinois |
Profile Details
NPI number | 1013286491 |
---|---|
LBN Legal business name | Ruder, Henry Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 14th, 2011 |
Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013286491 | NPPES |
Illinois | Other | 0336-012723 | ILLINOIS NARCOTIC LICENSE |
Illinois | Other | 036046038 | ILLINOIS NARCOTIC LICENSE |
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