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NPI Code Detail

MEDICARE: RUTH CHANEY

MEDICARE: RUTH CHANEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse041538210IL

General Provider Information

NPI Number : 1982064796
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH CHANEY
Provider Business Mailing Address
First Line : 5227 WOODLAND DR
Second Line :
City : OAK FOREST
State : IL
Zip : 60452-2270
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1620 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3801
Country : US
Telephone Number : 815-236-5603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2016
Last Update Date : 05/26/2026

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Directions to “ RUTH CHANEY ” Practice Location

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