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Contact Information

RUTH CHACKO, MD
6420 CLAYTON RD
SAINT LOUIS, MO63117-1811
 Phone: 314-768-8000
 Fax: 314-768-8011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for RUTH CHACKO · (Female)

NPI # 1093754715
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2006
Last updated 05/26/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036060005
  • MO License # R9305
  • MO Medicaid 1093754715
Hospital affiliation(s)
  • MERCY HOSPITAL ST LOUIS - (Acute Care)
    615 NEW BALLAS ROAD
    SAINT LOUIS, MO 63141
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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