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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARY S RUKIN, LPC

Active Sole Proprietor

MR. GARY S RUKIN, LPC is a Geriatric Psychologist healthcare provider located in LAKE IN THE HILLS, Illinois. NPI 1417617200 is currently active in the NPPES registry. Verify at CMS.

Geriatric Psychologist · LAKE IN THE HILLS, IL

Registration Details

NPI Number
1417617200
Provider Type
Individual
Gender
Male
NPI Issued
Dec 21, 2021 (4.6580391279317 yrs)
Last Updated
Dec 21, 2021
License
178006202 (IL)
Sole Proprietor
Yes

Practice Information

Address
1301 PYOTT RD STE 101
LAKE IN THE HILLS, IL, 601569795
Browse IL providers · Browse ZIP 60156
Phone
8479167160
Primary Specialty
Geriatric Psychologist
103TP2701X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.