Provider Demographics
NPI:1326591306
Name:FINNEGAN, MA. RUBY VISTA (RN-NP)
Entity Type:Individual
Prefix:
First Name:MA. RUBY
Middle Name:VISTA
Last Name:FINNEGAN
Suffix:
Gender:F
Credentials:RN-NP
Other - Prefix:
Other - First Name:MARIA RUBY
Other - Middle Name:VISTA
Other - Last Name:FINNEGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN-NP
Mailing Address - Street 1:816 ARTHUR AVE
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3129
Mailing Address - Country:US
Mailing Address - Phone:847-367-1361
Mailing Address - Fax:
Practice Address - Street 1:731 S IL ROUTE 21
Practice Address - Street 2:UNIT 120
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3813
Practice Address - Country:US
Practice Address - Phone:847-855-9700
Practice Address - Fax:847-855-8990
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.014288363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily