| Dr Aldo Carmen Ruffolo, DO | |
|
907 W Lincoln Ave, Charleston, IL 61920-2413 | |
| (217) 345-2100 | |
| (217) 345-8366 |
| Full Name | Dr Aldo Carmen Ruffolo |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 907 W Lincoln Ave, Charleston, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235124561 | NPI | - | NPPES |
| 036100163 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036100163 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sinai-grace Hospital | Detroit, MI | Hospital |
| Mountain Vista Medical Center, Lp | Mesa, AZ | Hospital |
| Detroit Receiving Hospital | Detroit, MI | Hospital |
| Huron Valley-sinai Hospital | Commerce township, MI | Hospital |
| Harper University Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rdc Imaging Pllc | 5496248890 | 7 |
| Rdc Imaging Pllc | 5496248890 | 7 |
| Rdc Imaging Pllc | 5496248890 | 7 |
| Rdc Imaging Pllc | 5496248890 | 7 |
| Shps Pllc | 7315325933 | 12 |
| Shps Pllc | 7315325933 | 12 |
| Gordon Grado Md Inc | 3971581166 | 5 |
| Shps Pllc | 7315325933 | 12 |
| Shps Pllc | 7315325933 | 12 |
| Vhs Physicians Of Michigan | 8921289760 | 224 |
| Entity Name | Ascension Borgess Lee Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194771030 PECOS PAC ID: 7719881002 Enrollment ID: O20060228000470 |
| Entity Name | Radiology Consultants Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598717431 PECOS PAC ID: 0446267447 Enrollment ID: O20060316000233 |
| Entity Name | Vhs Physicians Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073827101 PECOS PAC ID: 8921289760 Enrollment ID: O20110225000849 |
| Entity Name | Shps Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790421089 PECOS PAC ID: 7315325933 Enrollment ID: O20220906001095 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Aldo Carmen Ruffolo, DO 907 W Lincoln Ave, Po Box 770, Charleston, IL 61920-2413 Ph: (312) 576-4285 | Dr Aldo Carmen Ruffolo, DO 907 W Lincoln Ave, Charleston, IL 61920-2413 Ph: (217) 345-2100 |
Jayasiri Ravinath Fernando, Radiology Medicare: Not Enrolled in Medicare Practice Location: 907 W Lincoln Ave, Charleston, IL 61920 Phone: 217-345-2100 Fax: 217-345-8366 | |
Kan Y Wu, MD Radiology Medicare: Medicare Enrolled Practice Location: 907 West Lincoln Ave, Charleston, IL 61920 Phone: 217-345-2500 Fax: 217-345-8366 |