Individual
DR. ERIC A RUEBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
(618) 988-6186
Mailing address
PO BOX 1467, INDIANAPOLIS, IN 46206-1467
(681) 457-5200
(618) 351-4821
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-106061
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106061-2
—
IL
05
—
036106061-3
—
IL
05
—
7100098030
—
KY
Enumeration date
05/12/2006
Last updated
02/08/2021
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