Rubin, Gary Vincent

Rubin, Gary Vincent is an sole proprietor health care provider with primary practice located at 7001 W Archer Ave , Chicago IL 60638-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Rubin, Gary Vincent can be contacted via phone (773) 229-8818.

Contact Information

Primary practice address
7001 W Archer Ave Chicago IL 60638-2201
Fax: (773) 229-8423
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036055869 Illinois

Profile Details

NPI number 1962484162
LBN Legal business name Rubin, Gary Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Jan 29th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962484162 NPPES
Illinois MEDICAID 036055869

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