SearchIllinoisStudent in an Organized Health Care Education/Training Program

Warren Rucker, MD

NPI 1508032632 · on the registry since 2008

Practice

Address
12230 S Yale Ave
Chicago, IL 60628
Phone
(773) 995-0292

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-08

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