John Charles Ruckauf, APN/NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209-000491 (41-13328 Issued in IL

Practice address

2300 N Childrens PLZ
Mail Stop #54
Chicago, IL 60614-3363

Phone

(773) 880-3278

Fax

(773) 880-4063

NPI assigned

Dec 29, 2005

Last updated

Oct 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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.

• Lurie Children's Medical Group, LLC

  dba LCMG

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1992758544
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1760469738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S EUCLID AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041205",
            "telephone_number": "773-880-3278",
            "fax_number": "773-880-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N CHILDRENS PLZ",
            "address_2": "MAIL STOP #54",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143363",
            "telephone_number": "773-880-3278",
            "fax_number": "773-880-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKAUF",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "APN/NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209-000491 (41-13328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Ruby
• Suphawarak Rucha Intra, PHARMD
• Ruchi Nagpal DDS, PC
• Michael A. Ruchim, M.D.
• Kiriakos Ruci
• Cheryl Stephanie Rucker-Whitaker, MD, MPH
• Ethan Rucker, LPC
• Lorraine Rucker, LCSW CEAP SAP
• Napoleon Rucker
• Tatianah Rucker, RN

• Pediatric Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.