Healthcare Provider Details

I. General information

NPI: 1700128287
Provider Name (Legal Business Name): RUBY UPADHYAY REID M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RUBY UPADHYAY REID M.D.

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 W HARRISON ST SUITE 1118
CHICAGO IL
60612-3841
US

IV. Provider business mailing address

PO BOX 75103
CHICAGO IL
60675-5103
US

V. Phone/Fax

Practice location:
  • Phone: 312-942-4500
  • Fax: 312-942-2380
Mailing address:
  • Phone: 973-882-3456
  • Fax: 973-882-3450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125.063168
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MA10724900
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number83124
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberC1-0013365
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number201902364
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number300916
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD468898
License Number StatePA
# 8
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number125.063168
License Number StateIL
# 9
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0101267951
License Number StateVA
# 10
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME142781
License Number StateFL
# 11
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number38794
License Number StateAL
# 12
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number13203
License Number StateSD
# 13
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number84303
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: