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Individual

RACHAEL D RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 255-9580
(217) 255-9650
Mailing address
710 S PAULINA ST, CHICAGO, IL 60612-3808

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071010215
IL

Other

Enumeration date
01/14/2020
Last updated
03/04/2020
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