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NPI Code Detail

MEDICARE: ALLAN RUBY M.D.

MEDICARE: ALLAN RUBY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician036086659IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285691709
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLAN RUBY M.D.
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 17850 KEDZIE AVE STE 3500
Second Line :
City : HAZEL CREST
State : IL
Zip : 60429-2082
Country : US
Telephone Number : 708-575-4415
Fax Number : 708-575-4416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 02/27/2023

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