Organization
PRPODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN RUBIN DPM (OWNER)
(847) 275-8375
Entity
Organization
Contact information
Practice address
433 W BRIAR PL, UNIT 7B, CHICAGO, IL 60657-4752
(847) 275-8375
Mailing address
433 W BRIAR PL, UNIT 7B, CHICAGO, IL 60657-4752
(847) 275-8375
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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