Individual
DR. PERLA M BENRUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 2300, CHICAGO, IL 60611-2927
(312) 926-6000
(312) 926-6344
Mailing address
676 N SAINT CLAIR ST, SUITE 2300, CHICAGO, IL 60611-2927
(312) 926-6000
(312) 926-6344
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036062641
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062641
—
IL
01
—
060022779
RAILROAD MEDICARE
IL
01
—
1617522
BCBS
IL
01
—
238966
HARMONY OF IL
IL
01
—
K48915
MEDICARE PTAN
IL
01
—
P09892
MEDICARE PTAN
IL
Enumeration date
09/26/2005
Last updated
01/12/2013
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