Organization
RMU NEUROLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODRIGO M UBILUZ MD (OWNER)
(630) 964-7136
Entity
Organization
Contact information
Practice address
4121 FAIRVIEW AVE, 204, DOWNERS GROVE, IL 60515-2264
(630) 964-7136
(630) 353-0765
Mailing address
4121 FAIRVIEW AVE, 204, DOWNERS GROVE, IL 60515-2264
(630) 964-7136
(630) 353-0765
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036081581
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632454
BC/BS PROVIDER #
IL
05
—
036081581
—
IL
Enumeration date
08/01/2006
Last updated
03/10/2017
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