Bryan W Rubach
Otolaryngology/Facial Plastic Surgery
2040 Ogden Ave Ste 301
Aurora
, Illinois 60504-7205
Bryan W Rubach
Otolaryngology/Facial Plastic Surgery
2040 Ogden Ave Ste 301
Aurora
, Illinois 60504-7205
(630) 375-2905
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Bryan W Rubach
- 2040 Ogden Ave Ste 301
- Aurora, IL
- Zip : 60504-7205
- Fax : (630) 375-2905
- Phone : (630) 978-6895
Second Address
- Bryan W Rubach
- 2040 Ogden Ave Ste 301
- Aurora, IL
- Zip : 60504-7205
- Fax : (630) 375-2905
- Phone : (630) 978-6895
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 364032123 | IL |
National Provider Identifier
| NPI | 1912926205 |
|---|---|
| Provider Name | Bryan W Rubach |
| First Address | Aurora, IL 60504-7205 |
| Second Address | Aurora, IL 60504-7205 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 20/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 040008621 | RAILROAD MEDICARE (01) | IL |
| 4506907 | BLUE CROSS BLUE SHIELD (01) | IL |
| F80995 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.