Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellis Ruffolo, APRN

Individual provider Registered Nurse · NPI 1790583748

Ellis Ruffolo, APRN is a Nurse Practitioner in Chicago, Illinois. Qualified in 2024, 2 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2025
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1611 W Harrison St Ste 550
Chicago, IL 60612-4861
Phone: (312) 942-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.031963 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041465528 (IL)

Record details

NPI number1790583748
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address1611 W Harrison St Ste 550, Chicago, IL 60612-4861

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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