person
Warren Rucker, MD
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1508032632

Warren Rucker is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Warren Rucker practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Warren Rucker is 1508032632 and holds a License No. 0361121052 (Illinois).

The current practice location address for Warren Rucker is 12230 S Yale Ave, Chicago, IL and can be reached out via phone at 773-995-0292.

Location: 12230 S Yale Ave, Chicago, IL, 60628-6529
person
Provider Profile Details
NPI Number
1508032632
Provider Name
Warren Rucker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12230 S Yale Ave, Chicago, IL, 60628-6529
Phone Number
773-995-0292
Fax Number
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12230 S Yale Ave
City
State
Zip
60628-6529
Phone Number
773-995-0292
Fax Number
person
Provider Business Mailing Address Details
Address
12230 S Yale Ave
City
State
Zip
60628-6529
Phone Number
773-995-0292
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0361121052 (Illinois)
Definition
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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