Eileen Alannah Ruder, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036046037 Issued in IL

Practice address

411 Lathrop Ave Unit 3E
River Forest, IL 60305-1894

Phone

(708) 434-0782

NPI assigned

Dec 2, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1497186407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LATHROP AVE UNIT 3E",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051894",
            "telephone_number": "708-434-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LATHROP AVE UNIT 3E",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051894",
            "telephone_number": "708-434-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDER",
        "first_name": "EILEEN",
        "middle_name": "ALANNAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036046037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "036046037",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Romano Orthopaedics LLC
• Victor M. Romano, M.D.
• Rachel Rosa, PA-C
• Ross a. Fraser, DDS PC
• Thomas J Rostafinski, PHD
• Henry Joseph Ruder, M.D.
• Angelika Rupp, LCPC
• Russell P Umbricht DDS LTD
• Patricia Lynn Russell, M.D.
• S.S. Shroff, M.D.,S.C.

• Internal Medicine Physician in River Forest, IL
• Providers in River Forest, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.