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1417225004
ELLEN RUBIN
PARK RIDGE, IL
NPI
1417225004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IL 209009152)
Enumeration Date
2011-12-09
Last Update Date
2014-12-09
Business Address
-- ELLEN RUBIN APN
1420 RENAISSANCE WAY DRIVE SUITE 207
PARK RIDGE, IL 60068
Phone number: 847-296-6161
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Mailing Address
-- ELLEN RUBIN APN
1420 RENAISSANCE DR SUITE 207
PARK RIDGE, IL 60068-1330
Phone number:
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