Individual
MAX ROLAND RUBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5359 W FULLERTON AVE, CHICAGO, IL 60639-1450
(773) 836-2785
(773) 836-7381
Mailing address
5359 W FULLERTON AVE, CHICAGO, IL 60639-1450
(773) 836-2785
(773) 836-7381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.161824
IL
Other
Enumeration date
06/03/2020
Last updated
06/29/2023
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