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Individual

CHRISTINE RUSKUSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2508 COURT ST, PEKIN, IL 61554-5481
(309) 346-5323
(309) 346-5410
Mailing address
2508 COURT ST, PEKIN, IL 61554-5481
(309) 346-5323
(309) 346-5410

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2902
IL

Other

Enumeration date
12/12/2013
Last updated
12/12/2013
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