Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 036099937 | IL |
NPI | 1093745622 |
---|---|
Provider Name | Dr. Brian N Rubenstein |
First Address | Park Ridge, IL 60068-1005 |
Second Address | Park Ridge, IL 60068-1005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 22/01/2022 |