Individual
DEANA M RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
1611 W HARRISON ST, CHICAGO, IL 60612-4861
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209005409
IL
Other
Enumeration date
07/07/2006
Last updated
04/09/2013
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