Search › Illinois › 183500000X
Nicole Rungren
NPI 1053739326 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1156 Maple Ave
Lisle, IL 60532 - Phone
- (630) 964-7100
- Organisation at this address
- American Drug Stores Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois