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NPI 1285692889

NPI 1285692889 : RUDOLPH ALBORES MD : WESTMONT, IL

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General NPI Number Information
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    NPI Number           |    1285692889
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    Entity Type          |    Individual 
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    Provider Name        |    RUDOLPH ALBORES MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/03/2006
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    Last Update Date     |    04/28/2025
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Provider Practice Location Address
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    Address Line         |    251 N CASS AVE SUITE 100
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    City                 |    WESTMONT
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    State                |    IL
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    Zip                  |    60559-1744
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    Country              |    US
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    Telephone            |    630-963-0309
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    Fax                  |    630-963-0319
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Provider Business Mailing Address
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    Address Line         |    120 W 22ND ST STE 200 
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    City                 |    OAK BROOK
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    State                |    IL
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    Zip                  |    60523-1563
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    Country              |    US
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    Telephone            |    630-573-5000
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    Fax                  |    630-963-0319
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    36096907
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    License Number State |    IL
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