Individual
MR. JOHN CHARLES RUCKAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN/NP
Contact information
Practice address
2300 N CHILDRENS PLZ, MAIL STOP #54, CHICAGO, IL 60614-3363
(773) 880-3278
(773) 880-4063
Mailing address
727 S EUCLID AVE, OAK PARK, IL 60304-1205
(773) 880-3278
(773) 880-4063
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209-000491 (41-13328
IL
Other
Enumeration date
12/29/2005
Last updated
10/14/2011
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