VIOLET RUZICKA SA-C NPI 1225538010

NPI Information

NPI: 1225538010
Provider Name: VIOLET RUZICKA, SA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
6529 26TH PL
BERWYN, IL
ZIP 60402
Phone: (708) 603-1431
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Violet Ruzicka, SA-C is a surgical physician assistant in Berwyn, IL. Violet Ruzicka, SA-C NPI is 1225538010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6529 26TH PL
BERWYN, IL
ZIP 60402-701
Phone: (708) 603-1431

The enumeration date for this NPI number is 2/18/2018 and was last updated on 2/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	17-694	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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