Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel Ruiz, SA-C

Individual provider Surgical Physician Assistant · NPI 1073492880

Angel Ruiz, SA-C is a Surgical Physician Assistant in Mokena, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

18761 Chestnut Ct
Mokena, IL 60448-9501
Phone: (786) 448-9020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 238.000847 (IL)

Record details

NPI number1073492880
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C
Sole proprietorNo
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

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