Shirley Diane Ruck, APN, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209.010142 Issued in IL

Practice address

111 E. Odgen Ave. Suite 111
Hinsdale, IL 60521-3590

Phone

(630) 856-6990

Fax

(630) 856-6999

NPI assigned

Jan 8, 2013

Last updated

Jan 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adventist Midwest Health

  dba Hinsdale Hospital Pediatric Services

  • Pediatrics Physician
  • Hinsdale, IL
  • NPI 1578746178
  NPD (past)
• Adventist Midwest Health

  dba Adventist St. Thomas Hospice

  • Community Based Hospice Care Agency
  • Hinsdale, IL
  • NPI 1821020132
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1437496643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E OGDEN AVE STE 111",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218654",
            "telephone_number": "630-856-6990",
            "fax_number": "630-856-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E. ODGEN AVE. SUITE 111",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213590",
            "telephone_number": "630-856-6990",
            "fax_number": "630-856-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCK",
        "first_name": "SHIRLEY",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "APN, ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.010142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erlo Roth, M.D.
• Fred Rothenberger, MD
• RT Foot and Ankle Specialists, LLC (Illinois Poditry Specialists)
• Ruben E. Alarcon DDS, LTD.
• Brynna Vigee-Clary Rubin, LPC
• Ashley Brett Rudnick, PSY.D, DBSM
• Allison Rule, APRN
• Rush-Select Holdings, LLC. (Rush Kids Pediatric Therapy)
• Aubri Ann Rush, MD
• Karen S Russell, D.O.

• Adult Health Nurse Practitioner in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.