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Individual

ELLEN RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1420 RENAISSANCE WAY DRIVE, SUITE 207, PARK RIDGE, IL 60068
(847) 296-6161
Mailing address
1420 RENAISSANCE DR, SUITE 207, PARK RIDGE, IL 60068-1330

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209009152
IL

Other

Enumeration date
12/09/2011
Last updated
12/09/2014
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