Individual provider · Type 1 NPI

Warren Rucker, MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1508032632 Active

Practice location

12230 S Yale Ave
Chicago, IL 60628-6529

Call (773) 995-0292 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X0361121052 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508032632

Warren Rucker, MD's National Provider Identifier is 1508032632, issued on May 8, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on May 8, 2008.