WARREN RUCKER MD
NPI 1508032632
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Warren Rucker's NPI number?

The NPI number for Warren Rucker is 1508032632. It was assigned to this individual provider in the NPPES registry on May 8, 2008.

Q: What is Warren Rucker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Warren Rucker was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 08, 2008

12230 S YALE AVE, CHICAGO, IL 60628(773) 995-0292 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Warren Rucker Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WARREN RUCKER MD (NPI 1508032632) is an individual student in an organized health care education/training program in Chicago, Illinois, licensed in Illinois (0361121052) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1508032632

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameWARREN RUCKERCredential: MD

Location Address12230 S YALE AVEChicago, IL 60628-6529

Mailing Address12230 S Yale AveChicago, IL 60628-6529

Phone(773) 995-0292

Sole ProprietorNo

Enumeration DateMay 8, 2008

✔ NPI 1508032632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in IL · 0361121052

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12230 S YALE AVE, Chicago, IL 60628

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Warren Rucker's NPI number?

The NPI number for Warren Rucker is 1508032632. It was assigned to this individual provider in the NPPES registry on May 8, 2008.

Where is Warren Rucker located?

Warren Rucker practices at 12230 S Yale Ave, Chicago, IL 60628. The listed phone number is (773) 995-0292.

What is Warren Rucker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Warren Rucker was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.