Rubin, Phyllis B

Rubin, Phyllis B is an individual health care provider with primary practice located at 715 Lake St Suite 720, Oak Park IL 60301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Rubin, Phyllis B can be contacted via phone (708) 848-0983.

Contact Information

Primary practice address
715 Lake St Suite 720 Oak Park IL 60301
Phone: (708) 848-0983
Fax: (708) 848-0465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071005880 Illinois
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146001732 Illinois

Profile Details

NPI number 1881768489
LBN Legal business name Rubin, Phyllis B
Credentials PSY D
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Oct 27th, 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 1881768489 NPPES
Illinois MEDICAID 3781254014
Illinois Other 31623351
Illinois Other 31623353

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