Individual
ABIGAIL LYNN RUKLIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ATC
Contact information
Practice address
4749 LINCOLN MALL DR, SUITE 550, MATTESON, IL 60443-2348
(708) 283-9765
Mailing address
1004 CHARLES ST, CRETE, IL 60417-1602
(708) 910-8523
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002507
IL
Other
Enumeration date
12/17/2011
Last updated
12/17/2011
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