1467489997 NPI number — DR. RUTH G. RAMSEY MD

Table of content: DR. RUTH G. RAMSEY MD (NPI 1467489997)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467489997 NPI number — DR. RUTH G. RAMSEY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMSEY
Provider First Name:
RUTH
Provider Middle Name:
G.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467489997
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
664 N WELLS ST
Provider Second Line Business Mailing Address:
MRI OF RIVER NORTH SUITE 101
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60610-3717
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-033-5115
Provider Business Mailing Address Fax Number:
312-335-9098

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
664 NORTH WELLS STREET
Provider Second Line Business Practice Location Address:
MRI RIVER NORTH
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-335-1155
Provider Business Practice Location Address Fax Number:
312-335-9098
Provider Enumeration Date:
06/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 05016118143300391 . This is a "AMA NUMBER" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com