Individual
MS. SHIRLEY DIANE RUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, ANP-BC
Contact information
Practice address
111 E. ODGEN AVE. SUITE 111, HINSDALE, IL 60521-3590
(630) 856-6990
(630) 856-6999
Mailing address
119 E OGDEN AVE STE 111, HINSDALE, IL 60521-8654
(630) 856-6990
(630) 856-6999
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.010142
IL
Other
Enumeration date
01/08/2013
Last updated
01/24/2013
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