Rachael D Rubin
Psychologist
1802 S Mattis Ave
Champaign
, Illinois 61821-5923
Rachael D Rubin
Psychologist
1802 S Mattis Ave
Champaign
, Illinois 61821-5923
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Rachael D Rubin
- 710 S Paulina St
- Chicago, IL
- Zip : 60612-3808
- Phone :
Second Address
- Rachael D Rubin
- 1802 S Mattis Ave
- Champaign, IL
- Zip : 61821-5923
- Fax : (217) 255-9650
- Phone : (217) 255-9580
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Is Rachael D Rubin a sole practitioner?
Is Rachael D Rubin accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 071010215 | IL |
| Y | 103T00000X | Psychologist | 071010215 | IL |
National Provider Identifier
| NPI | 1003456369 |
|---|---|
| Provider Name | Rachael D Rubin |
| First Address | Chicago, IL 60612-3808 |
| Second Address | Champaign, IL 61821-5923 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/01/2020 |
| Last Update Date | 04/03/2020 |
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.