Ubilluz, Rodrigo M

Ubilluz, Rodrigo M is an individual health care provider with primary practice located at 4121 Fairview Ave 204, Downers Grove IL 60515-2264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ubilluz, Rodrigo M can be contacted via phone (630) 964-7136.

Contact Information

Primary practice address
4121 Fairview Ave 204 Downers Grove IL 60515-2264
Phone: (630) 964-7136
Fax: (773) 767-3944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036081581 Illinois

Profile Details

NPI number 1811991383
LBN Legal business name Ubilluz, Rodrigo M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2005
Last updated Mar 10th, 2017 - about 9 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 1811991383 NPPES
Illinois Other 1632454 BCBS PROVIDER NUMBER
Illinois MEDICAID 036081581 BCBS PROVIDER NUMBER

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