Ruckman, Kaitlyn M

Ruckman, Kaitlyn M is an individual health care provider with primary practice located at 15300 West Ave , Orland Park IL 60462-4600. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ruckman, Kaitlyn M can be contacted via phone (708) 932-4000.

Contact Information

Primary practice address
15300 West Ave Orland Park IL 60462-4600
Phone: (708) 932-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209019135 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209019135 Illinois

Profile Details

NPI number 1306310131
LBN Legal business name Ruckman, Kaitlyn M
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2019
Last updated Feb 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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