Individual
STEPHANIE RUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N BURR BLVD, KEWANEE, IL 61443-2214
(309) 852-5272
(309) 854-5575
Mailing address
110 N BURR BLVD, KEWANEE, IL 61443-2214
(309) 852-5272
(309) 854-5575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041401942
IL
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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