Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | IL | |
N | 111NI0900X | Internist | IL | |
N | 207SG0201X | Clinical Genetics (M.D.) | IL |
NPI | 1477592111 |
---|---|
Provider Name | Dr. Wendy S. Rubinstein |
First Address | Evanston, IL 60201-1777 |
Second Address | Evanston, IL 60201-1777 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F19963 | (02) | IL |