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Mr. Robert E Ruderman

Adolescent Medicine

1160 Park Avenue West
Highland Park , Illinois 60035

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Image

Mr. Robert E Ruderman

Adolescent Medicine

1160 Park Avenue West
Highland Park , Illinois 60035

(847) 432-9480

Write a Review Save Call

Mr. Robert E Ruderman

Adolescent Medicine

1160 Park Avenue West
Highland Park , Illinois 60035

(847) 432-9480 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Adolescent Medicine

Languages spoken

  • English

Location

1160 Park Avenue West Highland Park , Illinois 60035

First Address

  • Mr. Robert E Ruderman
  • 900 North Westmoreland Road #217
  • Lake Forest, IL
  • Zip : 60045
  • Fax : (847) 432-9480
  • Phone : (847) 432-8422

Second Address

  • Mr. Robert E Ruderman
  • 1160 Park Avenue West
  • Highland Park, IL
  • Zip : 60035
  • Fax : (847) 432-9480
  • Phone : (847) 432-8422

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FAQs


Where did Mr. Robert E Ruderman attend graduate school?

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Where did Mr. Robert E Ruderman do his residency?

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Where did Mr. Robert E Ruderman do his fellowship?

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Is Mr. Robert E Ruderman board certified?

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What type of doctor is Mr. Robert E Ruderman

Adolescent Medicine

In what state does Mr. Robert E Ruderman practice in?

Illinois

Where is Mr. Robert E Ruderman ’s practice located?

1160 Park Avenue West , Highland Park, Illinois, 60035

What is Mr. Robert E Ruderman ’s gender?

Male

Is Mr. Robert E Ruderman a sole practitioner?

No

Is Mr. Robert E Ruderman accepting new patients?

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What languages does Mr. Robert E Ruderman speak?

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Does Mr. Robert E Ruderman accept insurance?

Yes, Mr. Robert E Ruderman accepts insurance

Does Mr. Robert E Ruderman offers telemedicine?

Mr. Robert E Ruderman has not indicated if he offers telemedicine

What is Mr. Robert E Ruderman ’s professional license number?

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What is Mr. Robert E Ruderman ’s NPI number?

1093740730

Does Mr. Robert E Ruderman have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2080A0000X Adolescent Medicine 036-053789 IL

National Provider Identifier

NPI 1093740730
Provider Name Mr. Robert E Ruderman
First Address Lake Forest, IL 60045
Second Address Highland Park, IL 60035
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 11/07/2006
Last Update Date 24/01/2013

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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