SearchIllinois207R00000X

Edward Rufus Jr, MD

NPI 1871597450 · on the registry since 2005 · sole proprietor

Practice

Address
5401 N Knoxville Ave
Suite 306
Peoria, IL 61614
Phone
(309) 691-7890
Fax
(309) 691-7898
Organisation at this address
Patti L Ally
C E Myers Md
Frank I Russo
Champion Fitness, Inc
Proctor Health Systems
Inferred from a shared address, not stated in the registry.
Clinicians at this address
64

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois