Healthcare Provider Details

I. General information

NPI: 1033029368
Provider Name (Legal Business Name): RUBA N ELROUBI RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 ROOSEVELT RD
GLEN ELLYN IL
60137-5797
US

IV. Provider business mailing address

840 FOXWORTH BLVD APT 309
LOMBARD IL
60148-4897
US

V. Phone/Fax

Practice location:
  • Phone: 630-790-2295
  • Fax: 630-790-3124
Mailing address:
  • Phone: 630-790-2295
  • Fax: 630-790-3124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.309429
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: