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

Penelope Grace Ruppert

Individual provider Pediatric Nurse Practitioner · NPI 1366158529

Penelope Grace Ruppert is a Pediatric Nurse Practitioner in Winnetka, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

572B Lincoln Ave
Winnetka, IL 60093-2308
Phone: (847) 501-4040
Fax: (847) 501-4075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 209026393 (IL)

Record details

NPI number1366158529
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing address572b Lincoln Ave, Winnetka, IL 60093-2308