Individual
RUBEENA H MIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
545 PLAINFIELD RD, SUITE E, WILLOWBROOK, IL 60527-7600
(630) 863-0648
(630) 321-2298
Mailing address
545 PLAINFIELD RD, SUITE E, WILLOWBROOK, IL 60527-7600
(630) 863-0648
(630) 321-2298
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036087475
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087475
—
IL
Enumeration date
02/15/2007
Last updated
08/08/2013
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