Individual
DR. HARLEY GLENN RUBENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2776 ROSLYN LN, HIGHLAND PARK, IL 60035-1408
(847) 433-5579
(847) 433-5791
Mailing address
2776 ROSLYN LN, HIGHLAND PARK, IL 60035-1408
(847) 433-5579
(847) 433-5791
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036047519
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047519
—
IL
01
—
21605432
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/19/2006
Last updated
04/18/2008
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