Provider Demographics
NPI:1023874823
Name:RUGE, JANE (PT, DPT, PCS)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:RUGE
Suffix:
Gender:F
Credentials:PT, DPT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22W600 BUTTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-6901
Mailing Address - Country:US
Mailing Address - Phone:630-942-5600
Mailing Address - Fax:
Practice Address - Street 1:195 GREENWAY DR
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2026
Practice Address - Country:US
Practice Address - Phone:630-351-3416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0700135932251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics