Individual
MRS. KATELYN M RUGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
375 N WALL ST STE 530, KANKAKEE, IL 60901-3483
(815) 932-7200
(815) 935-8797
Mailing address
375 N WALL ST STE 530, KANKAKEE, IL 60901-3483
(815) 932-7200
(815) 935-8797
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004856RX
OH
Other
Enumeration date
12/15/2011
Last updated
01/23/2024
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