Individual
DAVID G RUSCHHAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1653 W CONGRESS PKWY, 770 JONES, CHICAGO, IL 60612-3833
(312) 942-7496
(312) 942-6800
Mailing address
1653 W CONGRESS PKWY, 770 JONES, CHICAGO, IL 60612-3833
(312) 942-7496
(312) 942-6800
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036057563
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057563
—
IL
Enumeration date
01/11/2007
Last updated
09/22/2011
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