Individual
DR. RODRIGO M UBILLUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4121 FAIRVIEW AVE, 204, DOWNERS GROVE, IL 60515-2264
(630) 964-7136
(773) 767-3944
Mailing address
4121 FAIRVIEW AVE, 204, DOWNERS GROVE, IL 60515-2264
(630) 964-7136
(773) 767-3944
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036081581
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081581
—
IL
01
—
1632454
BCBS PROVIDER NUMBER
IL
Enumeration date
06/12/2005
Last updated
03/10/2017
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