Diane Camille Rukscinski, FNP
Nurse Practitioner, Family in Mokena, IL. Individual provider (NPI-1).
NPI number1790978286
StatusActive
Last updated in NPPESSep 26, 2014
Details
- NPI
- 1790978286
- Entity type
- Individual (NPI-1)
- Name
- Ms. Diane Camille Rukscinski
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2007
- Last updated
- Sep 26, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209003921 | IL | Yes |
Practice location
11200 Lincoln HwyMokena, IL 60448-8208
Phone 866-389-2727
Mailing address
920 2nd Ave SSuite 400
Minneapolis, MN 55402-3318
Phone 612-225-1534
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