IndividualActive
Angel Ruiz, SA-C
NPI 1073492880 · Surgical Physician Assistant · Mokena, IL
Provider details
- NPI number
- 1073492880
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- SA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 238.000847 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
18761 Chestnut Ct
Mokena, IL 60448-9501
Phone: (786) 448-9020
Approximate (ZIP-level) locationGet directions
Mailing address
18761 Chestnut Ct
Mokena, IL 60448-9501
Registry dates
- Enumerated
- 2025-08-27
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.