Individual
JOHN L RUSKUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3305 GRIFFIN AVE, PEKIN, IL 61554-6237
(309) 347-3886
(309) 347-4002
Mailing address
3305 GRIFFIN AVE, PEKIN, IL 61554-6237
(309) 347-3886
(309) 347-4002
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
016002661
IL
Other
Enumeration date
05/12/2006
Last updated
11/09/2009
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