Individual provider · Type 1 NPI

Ellen S. Rubin, D.P.M

Foot & Ankle Surgery Podiatrist · Chicago, IL

NPI number 1568626554 Active

Practice location

467 W Erie St
Chicago, IL 60654-5704

Mailing address

433 W Briar Pl Apt 7B
Chicago, IL 60657-9406

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X016005335 (IL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1568626554

Ellen S. Rubin, D.P.M's National Provider Identifier is 1568626554, issued on Jul 18, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Chicago, IL. The record was last updated on Nov 20, 2008.