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Individual

RUTH MCGAHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
890 GARFIELD AVE, SUITE 209, LIBERTYVILLE, IL 60048-4723
(847) 328-1853
(708) 338-0200
Mailing address
890 GARFIELD AVE, SUITE 209, LIBERTYVILLE, IL 60048-4723
(847) 328-1853
(708) 338-0200

Taxonomy

Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
209008438
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041313873
IL
01
31601838
BCBS OF ILLINOIS
IL
Enumeration date
10/27/2010
Last updated
11/04/2010
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