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Individual

DR. ARI B RUBENFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1855 W TAYLOR ST, RM 2.42, CHICAGO, IL 60612-7242
(312) 996-6584
(312) 996-1282
Mailing address
1855 W TAYLOR ST, RM 2.42, CHICAGO, IL 60612-7242
(312) 996-6584
(312) 996-1282

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
5745520
WI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
036-111652
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-111652-1
IL
Enumeration date
10/11/2005
Last updated
05/06/2016
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