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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811991383 | NPPES |
| Illinois | Other | 1632454 | BCBS PROVIDER NUMBER |
| Illinois | MEDICAID | 036081581 | BCBS PROVIDER NUMBER |
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