Provider Demographics
NPI:1750590006
Name:KLEINPELL, RUTH M (PHD RN)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:M
Last Name:KLEINPELL
Suffix:
Gender:F
Credentials:PHD RN
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Other - First Name:
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Mailing Address - Street 1:330 WEST DIVERSEY
Mailing Address - Street 2:#2702
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657
Mailing Address - Country:US
Mailing Address - Phone:773-929-5072
Mailing Address - Fax:773-929-1508
Practice Address - Street 1:2525 S MICHIGAN AVE
Practice Address - Street 2:MERCY HOSPITAL AND MEDICAL CENTER
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-2333
Practice Address - Country:US
Practice Address - Phone:312-567-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209002245 41221894363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner