Individual
MRS. KACIE MEGAN RUGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1222
(630) 933-4819
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1222
(630) 933-4819
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004877
IL
363A00000X
Physician Assistant
1682
NE
Other
Enumeration date
10/28/2012
Last updated
01/02/2019
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