Individual
RODOLFO A RUBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8012 S CRANDON AVE, CHICAGO, IL 60617-1124
(773) 768-0810
Mailing address
PO BOX 597903, CHICAGO, IL 60659-7903
(773) 537-0020
(773) 537-0030
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21621764
BCBS OF IL
IL
Enumeration date
10/12/2006
Last updated
08/23/2007
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