Violet Ruzicka, SA-C

Surgical Physician Assistant · Berwyn, IL

Individual Active NPI

NPI number 1225538010

Practice location

6529 26TH Pl
Berwyn, IL 60402-4701
Phone
(708) 603-1431

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NPI record

NPI
1225538010
Entity type
Individual (Type 1)
Enumeration date
February 18, 2018
Last updated
February 18, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Physician Assistant Primary 363AS0400X 17-694 IL

About Violet Ruzicka

Violet Ruzicka, SA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 6529 26TH Pl, Berwyn, IL 60402-4701. The NPI number 1225538010 was assigned on February 18, 2018 and the record was last updated on February 18, 2018.

Violet Ruzicka lists a license in the registry: #17-694 (IL) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Violet Ruzicka, SA-C?

The NPI number is 1225538010.

What is the phone number of Violet Ruzicka?

The phone number listed for the practice location is (708) 603-1431.

Where is Violet Ruzicka located?

6529 26TH Pl, Berwyn, IL 60402-4701.

What is the taxonomy code for Violet Ruzicka?

The primary taxonomy code is 363AS0400X – Surgical Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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