Organization
BRYAN RUBACH M D SC
Active
Other names
Midwest ENT Associates S C
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SABON (OFFICE MANAGER)
(630) 820-8653
Entity
Organization
Contact information
Practice address
1256 WATERFORD DR, SUITE 170, AURORA, IL 60504-4510
(630) 820-8653
(630) 820-7238
Mailing address
1256 WATERFORD DR, SUITE 170, AURORA, IL 60504-4510
(630) 820-8653
(630) 820-7238
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040008621
RAIL ROAD MEDICARE
IL
01
—
4506907
BCBS
IL
01
—
7642444
AETNA
—
Enumeration date
08/04/2006
Last updated
08/13/2008
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