Individual
CHANTAL RUBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
5635 W BELMONT AVE, CHICAGO, IL 60634-4384
(773) 736-1830
Mailing address
5635 W BELMONT AVE, CHICAGO, IL 60634-4384
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007692
IL
Other
Enumeration date
08/23/2019
Last updated
01/27/2022
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