Individual
GABRIELLE RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1875 W DEMPSTER ST, PARK RIDGE, IL 60068-1186
(847) 698-3600
Mailing address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 318-9340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036150888
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036150888
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036150888
ILLINOIS PHYSICIAN PERMANENT LICENSE
IL
Enumeration date
03/23/2017
Last updated
10/18/2021
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