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Organization
MEDI DOC INC
Active
Organization
MEDI DOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD RUBIN MD (PRESIDENT)
(847) 583-8427
Entity
Organization
Contact information
Practice address
5200 SUFFIELD CT, SKOKIE, IL 60077-1527
(847) 583-8427
Mailing address
5200 SUFFIELD CT, SKOKIE, IL 60077-1527
(847) 583-8427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036042276
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621999
BCBS OF IL
IL
Enumeration date
03/15/2008
Last updated
05/21/2008
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