Individual provider · Type 1 NPI

Angel Ruiz, SA-C

Surgical Physician Assistant · Mokena, IL

NPI number 1073492880 Active

Practice location

18761 Chestnut Ct
Mokena, IL 60448-9501

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X238.000847 (IL)

Surgical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1073492880

Angel Ruiz, SA-C's National Provider Identifier is 1073492880, issued on Aug 27, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mokena, IL. The record was last updated on Aug 27, 2025.