Individual
DR. JONATHAN B RUBENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST, SUITE 918, CHICAGO, IL 60612-3841
(312) 942-2734
(312) 942-2156
Mailing address
1725 W HARRISON ST, SUITE 918, CHICAGO, IL 60612-3841
(312) 942-2734
(312) 942-2156
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036 064796
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064796
—
IL
Enumeration date
01/16/2007
Last updated
07/08/2007
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