Individual provider · Type 1 NPI

Kaitlyn M. Ruckman, NP-C

Nurse Practitioner · Orland Park, IL

NPI number 1306310131 Active

Practice location

15300 West Ave
Orland Park, IL 60462-4600

Mailing address

259 E Erie St Ste 1900
Chicago, IL 60611-3246

Other practice locations

  • 259 E Erie St Ste 1900, Chicago, IL 60611-3246 · (312) 695-7950

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X209019135 (IL)
Nurse Practitioner Primary 363L00000X209019135 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1306310131

Kaitlyn M. Ruckman, NP-C's National Provider Identifier is 1306310131, issued on Jan 15, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orland Park, IL. The record was last updated on Feb 9, 2023.