Individual
MS. RUTH SOLOMON TUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5710 N BROADWAY ST, CHICAGO, IL 60660-4302
(773) 728-1000
(866) 301-2462
Mailing address
2428 W JARVIS AVE, CHICAGO, IL 60645-1616
(773) 972-2872
(866) 301-2462
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041.395748
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.395748
RN LICENSE
IL
Enumeration date
10/13/2015
Last updated
10/13/2015
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