Individual
JOSEPH MALCOM RURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 W HARRISON ST STE 1159, CHICAGO, IL 60612-3883
(312) 942-5020
Mailing address
1725 W HARRISON ST STE 1159, CHICAGO, IL 60612-3883
(312) 942-5020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009883
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/29/2023
Last updated
11/29/2023
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