Active NPI
FJ Wall MD & William J Ruff MD
- General Practice Physician
- Palos Heights, IL
National Provider Identifier
1114086303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- FJ WALL MD & WILLIAM J RUFF MD
- Practice address
- 7600 W College Dr
Palos Heights, IL 60463-1001 - Phone
- (708) 361-8449
- Fax
- (708) 361-8469
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William J Ruff, M.D.
- Title
- Physician
- Phone
- (708) 361-8449
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | IL | Primary |
Addresses
Primary practice location
7600 W College Dr
Palos Heights, IL 60463-1001
Mailing address
2800 W 87TH St
Chicago, IL 60652-3831
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01615630 | Other | IL | BCBS OF IL |
| DE1040 | Other | IL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1114086303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 W 87TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606523831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 W COLLEGE DR",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631001",
"telephone_number": "708-361-8449",
"fax_number": "708-361-8469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FJ WALL MD & WILLIAM J RUFF MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "RUFF",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "708-361-8449",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "01615630",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE1040",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.