Individual
KATARZYNA RUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5301 S ASHLAND AVE, COUNTRYSIDE, IL 60525-2837
(708) 308-8255
Mailing address
5301 S ASHLAND AVE, COUNTRYSIDE, IL 60525-2837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.019273
IL
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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