Individual provider · Type 1 NPI
John L. Ruskusky, D.P.M.
Primary Podiatric Medicine Podiatrist · Pekin, IL
NPI number
1114978574
Active
Practice location
3305 Griffin Ave
Pekin, IL 61554-6237
Fax (309) 347-4002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 016002661 (IL) |
Primary Podiatric Medicine Podiatrist: Definition to come...
3 other providers at this address
About NPI 1114978574
John L. Ruskusky, D.P.M.'s National Provider Identifier is 1114978574, issued on May 12, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Pekin, IL. The record was last updated on Nov 9, 2009.