Holly Rusch, CSA is a
Specialist/technologist, Other - Surgical Assistant based in Mchenry, Illinois. Holly Rusch is licensed to practice in Illinois (license number 238.000697) and her current practice location is
4309 W Medical Center Dr Ste B310, Mchenry, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 759-4368.
NPI number for Holly Rusch is 1073485413 and her current mailing address is 4309 W Medical Center Dr Ste B310, Mchenry, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073485413.
Provider's Profile
Full Name | Holly Rusch |
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Gender | Female |
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Speciality | Specialist/technologist, Other - Surgical Assistant |
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Location | 4309 W Medical Center Dr Ste B310, Mchenry, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073485413
- Provider Enumeration Date: 09/23/2025
- Last Update Date: 09/23/2025
Medical Identifiers
Medical identifiers for Holly Rusch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073485413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | (Illinois) | Secondary |
246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 238.000697 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Rusch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Holly Rusch, CSA 4309 W Medical Center Dr Ste B310, Mchenry, IL 60050-8441 Ph: (224) 800-8176 | Holly Rusch, CSA 4309 W Medical Center Dr Ste B310, Mchenry, IL 60050-8441 Ph: (815) 759-4368 |
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