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Individual

DR. GARY VINCENT RUBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7001 W ARCHER AVE, CHICAGO, IL 60638-2201
(773) 229-8818
(773) 229-8423
Mailing address
7001 W ARCHER AVE, CHICAGO, IL 60638-2201
(773) 229-8818
(773) 229-8423

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036055869
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036055869
IL
Enumeration date
11/15/2005
Last updated
01/29/2008
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