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MARYLU RUIZ
NPI 1104375849
Counselor - Professional in Berwyn, IL

Active since September 22, 2016PECOS Enrolled
6918 W WINDSOR AVE, BERWYN, IL 60402(708) 955-3656 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2024, Sep 22, 2016 (2 updates tracked since 2016).

About Marylu Ruiz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLU RUIZ (NPI 1104375849) is an individual professional provider in Berwyn, Illinois, licensed in Illinois (180015958) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104375849
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARYLU RUIZ
Location Address6918 W WINDSOR AVEBerwyn, IL 60402-3334
Mailing Address5220 East AveCountryside, IL 60525-3133 · (708) 745-5277
Phone(708) 955-3656
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 22, 2016
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1104375849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180015958
6918 W WINDSOR AVE, Berwyn, IL 60402
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marylu Ruiz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668919671
PECOS Enrollment IDI20240807002979
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LIZETTE REYES REVELES BA
Counselor (Mental Health)
6918 W WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 745-5277
MARGARET ESPINOZA LCPC
Counselor (Professional)
6918 W WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 745-5277
HANNAH DOGGETT MA, LPC, CADC
Counselor
6918 W WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 745-5277
SARAH SCHWARTING LCSW
Social Worker (Clinical)
6918 W WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 745-5277
ALMA LETICIA JIMENEZ TAPIA LCSW
Social Worker (Clinical)
6918 W WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 995-3521
ANTOINETTE ALLEN LPC
Counselor (Professional)
6918 W WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 995-3720
CONSTANCE UPTON LCSW
Social Worker (Clinical)
6918 W WINDSOR AVE
BERWYN, IL 60402
Cook County (331) 253-7656
ALEXANDRA RODRIGUEZ
Counselor (Mental Health)
6918 W WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 745-5277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marylu Ruiz's NPI number?

The NPI number for Marylu Ruiz is 1104375849. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Marylu Ruiz located?

Marylu Ruiz practices at 6918 W Windsor Ave, Berwyn, IL 60402. The listed phone number is (708) 955-3656.

What is Marylu Ruiz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Marylu Ruiz enrolled in Medicare?

Yes. Marylu Ruiz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marylu Ruiz was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.