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1760469738
JOHN CHARLES RUCKAUF
CHICAGO, IL
NPI
1760469738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: IL 209-000491 (41-13328)
Enumeration Date
2005-12-29
Last Update Date
2011-10-14
Business Address
MR. JOHN CHARLES RUCKAUF APN/NP
2300 N CHILDRENS PLZ MAIL STOP #54
CHICAGO, IL 60614-3363
Phone number: 773-880-3278
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Mailing Address
MR. JOHN CHARLES RUCKAUF APN/NP
727 S EUCLID AVE
OAK PARK, IL 60304-1205
Phone number: 773-880-3278
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