Provider Demographics
NPI:1871758334
Name:NACKERS, RUTH A (PA)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:A
Last Name:NACKERS
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Gender:F
Credentials:PA
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Mailing Address - Street 1:10547 MISTY HILL RD
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-7439
Mailing Address - Country:US
Mailing Address - Phone:847-587-6112
Mailing Address - Fax:847-587-6113
Practice Address - Street 1:5500 S HOHMAN AVE
Practice Address - Street 2:SUITE 1E
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-1965
Practice Address - Country:US
Practice Address - Phone:847-587-6112
Practice Address - Fax:847-587-6113
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2022-05-19
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical