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NPI Code Detail

MEDICARE: DR. RACHEL RUBIN MD

MEDICARE: DR. RACHEL RUBIN MD
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
12083X0100XOccupational Medicine Physician036-071646IL
2207R00000XInternal Medicine Physician036-071646IL

General Provider Information

NPI Number : 1699790279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RACHEL RUBIN MD
Provider Business Mailing Address
First Line : 7556 JACKSON BLVD
Second Line : COOK COUNTY DEPT OF PUBLIC HEALTH
City : FOREST PARK
State : IL
Zip : 60130-1854
Country : US
Telephone Number : 708-836-8642
Fax Number : 312-278-0097
Provider Business Practice Location Address
First Line : 2020 W HARRISON ST
Second Line : RUTH M ROTHSTEIN CORE CENTER
City : CHICAGO
State : IL
Zip : 60612-3741
Country : US
Telephone Number : 312-572-4500
Fax Number : 312-278-0097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 04/29/2021

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