Ruju Vivek Trivedi

NPI #1710680459 in Kankakee, Illinois

Provider Information

NPI Number: 1710680459
Entity Type: Individual
Name: Ruju Vivek Trivedi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Mar 22, 2023
Last Updated: Nov 18, 2024

Practice Location

Address: 555 W COURT ST STE 214
City: Kankakee
State: Illinois
ZIP Code: 60901-3674
Phone: (815) 928-6131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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