Individual
KATHLEEN A RUGGERO
Active
Individual
KATHLEEN A RUGGERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036102814
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102814
—
IL
01
—
21622441
BCBS PROVIDER ID
IL
01
—
602232600
US DEPT OF LABOR
IL
01
—
P00082676
RAILROAD MEDICARE
IL
Enumeration date
09/20/2005
Last updated
12/22/2021
Update your record
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