Provider Demographics
NPI:1306689294
Name:RUFF, BENEDICTA (MD)
Entity type:Individual
Prefix:DR
First Name:BENEDICTA
Middle Name:
Last Name:RUFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 CUSTER AVE APT 3E
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3496
Mailing Address - Country:US
Mailing Address - Phone:847-262-1127
Mailing Address - Fax:
Practice Address - Street 1:309 CUSTER AVE APT 3E
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3496
Practice Address - Country:US
Practice Address - Phone:847-262-1127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty