JOHN CHARLES RUCKAUF

CHICAGO, IL
NPI1760469738
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: IL  209-000491 (41-13328)
Enumeration Date2005-12-29
Last Update Date2011-10-14
Business Address
MR. JOHN CHARLES RUCKAUF APN/NP
2300 N CHILDRENS PLZ MAIL STOP #54
CHICAGO, IL 60614-3363
Phone number: 773-880-3278
Mailing Address
MR. JOHN CHARLES RUCKAUF APN/NP
727 S EUCLID AVE
OAK PARK, IL 60304-1205
Phone number: 773-880-3278