Individual
DR. RUBEN JOSEPH MYLVAGANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-1800
(312) 908-4650
Mailing address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-1800
(312) 908-4650
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036146223
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2015
Last updated
04/17/2024
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