Provider Demographics
NPI:1205926342
Name:MCKINDLES, RUTH A (CRNFA)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:A
Last Name:MCKINDLES
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-9512
Mailing Address - Country:US
Mailing Address - Phone:630-554-7245
Mailing Address - Fax:630-554-7245
Practice Address - Street 1:84 CRESTVIEW DR
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-9512
Practice Address - Country:US
Practice Address - Phone:630-554-7245
Practice Address - Fax:630-554-7245
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant