Individual provider · Type 1 NPI

John Charles Ruckauf, APN/NP

Pediatric Nurse Practitioner · Chicago, IL

NPI number 1760469738 Active

Practice location

2300 N Childrens Plz, Mail Stop #54
Chicago, IL 60614-3363

Call (773) 880-3278 Map

Fax (773) 880-4063

Mailing address

727 S Euclid Ave
Oak Park, IL 60304-1205

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	209-000491 (41-13328 (IL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1760469738

John Charles Ruckauf, APN/NP's National Provider Identifier is 1760469738, issued on Dec 29, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chicago, IL. The record was last updated on Oct 14, 2011.