Individual
DR. JOHN RUGGERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1949 W ROSCOE ST APT 3F, CHICAGO, IL 60657-6261
(810) 531-1192
Mailing address
1949 W ROSCOE ST APT 3F, CHICAGO, IL 60657-6261
(810) 531-1192
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036143416
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2012
Last updated
04/29/2021
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