Rubens, Harley Glenn

Rubens, Harley Glenn is an sole proprietor health care provider with primary practice located at 2776 Roslyn Ln , Highland Park IL 60035-1408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rubens, Harley Glenn can be contacted via phone (847) 433-5579.

Contact Information

Primary practice address
2776 Roslyn Ln Highland Park IL 60035-1408
Phone: (847) 433-5579
Fax: (847) 433-5791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036047519 Illinois

Profile Details

NPI number 1760435663
LBN Legal business name Rubens, Harley Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Apr 18th, 2008 - about 17 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 1760435663 NPPES
Illinois MEDICAID 036047519
Illinois Other 21605432

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