Individual
KATI K RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
19 E SHAWNEE DR STE 3, MURPHYSBORO, IL 62966
(618) 565-1000
(618) 565-1010
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016.005763
IL
213E00000X
Podiatrist
397
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005763
IL
Other
Enumeration date
06/28/2012
Last updated
03/20/2025
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