Organization
HARLEY G RUBENS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARLEY G RUBENS M.D. (PRESIDENT)
(847) 668-5579
Entity
Organization
Contact information
Practice address
2776 ROSLYN LN, HIGHLAND PARK, IL 60035-1408
(847) 668-5579
Mailing address
2776 ROSLYN LN, HIGHLAND PARK, IL 60035-1408
(847) 668-5579
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-047519
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047519
—
IL
01
—
21605432
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/16/2006
Last updated
03/30/2015
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