Individual
DR. TODD RUPPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, APRN
Contact information
Practice address
600 S PAULINA ST STE 1080, CHICAGO, IL 60612-3806
(312) 942-6958
Mailing address
600 S PAULINA ST STE 1080, CHICAGO, IL 60612-3806
(312) 942-6958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.458038
IL
163W00000X
Registered Nurse
149788
MO
364SG0600X
Gerontology Clinical Nurse Specialist
149788
MO
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
209.018331
IL
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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