Individual
LESLIE S RUBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
840 S WAUKEGAN RD STE 208, LAKE FOREST, IL 60045-2619
(847) 295-0433
(855) 332-1934
Mailing address
840 S WAUKEGAN RD STE 208, LAKE FOREST, IL 60045-2619
(847) 295-0433
(855) 332-1934
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
209009238
CA
367A00000X
Advanced Practice Midwife
Primary
209009238
IL
Other
Enumeration date
11/10/2011
Last updated
05/03/2023
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