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Individual

PENELOPE GRACE RUPPERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
572B LINCOLN AVE, WINNETKA, IL 60093-2308
(847) 501-4040
(847) 501-4075
Mailing address
572B LINCOLN AVE, WINNETKA, IL 60093-2308
(847) 501-4040
(847) 501-4075

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209026393
IL

Other

Enumeration date
01/30/2023
Last updated
01/30/2023
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