Richard M Mruz MD SC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

RICHARD M MRUZ MD SC

Practice address

800 Biesterfield Rd
Suite 102
Elk Grove Village, IL 60007-3311

Phone

(847) 364-0040

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Joanna Mruz

Title

Office Manage

Phone

(847) 364-0040

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1881724136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 102",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-364-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 102",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-364-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M MRUZ MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "MRUZ",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OFFICE MANAGE",
        "authorized_official_telephone_number": "847-364-0040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4064443",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21625490",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Erasmo Reyes
• Susan Reynolds, LCSW
• Kandice Nicole Richards-Lanza, LCSW
• Margaret Adrienne Richey, MSW
• Suzanne Marie Rickman
• John R Riggs, DDS
• Carlotta M Rinke, MD

• Obstetrics & Gynecology Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.