Bryan W Rubach in Aurora - Otolaryngology/facial Plastic Surgery
Bryan W Rubach - NPI 1912926205
Bryan W Rubach is a Otolaryngology/facial Plastic Surgery in Aurora, Illinois. Bryan W Rubach practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Bryan W Rubach is 1912926205. The last update date is 2020-07-20.
Bryan W Rubach's current location address is 2040 Ogden Ave Ste 301, Aurora, Illinois. You can contact this provider via phone number 6309786895 and fax number 6303752905. The mailing address for Bryan W Rubach is 2040 Ogden Ave Ste 301, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bryan W Rubach |
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Address | 2040 Ogden Ave Ste 301, Aurora, Illinois |
Phone Number | 6309786895 |
Fax Number | 6303752905 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1912926205 |
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Provider Enumeration Date | 2006-07-18 |
Last Updated Date | 2020-07-20 |
Provider Mailing Address Detail
Address | 2040 Ogden Ave Ste 301 |
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City | Aurora |
State | Illinois (IL) |
Post Code | 605047205 |
Phone Number | 6309786895 |
Fax Number | 6303752905 |
Provider's Primary Taxonomy Detail
Speciality | Otolaryngology/facial Plastic Surgery |
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Taxonomy | 207Yx0905X |
Licence No | 364032123 |
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4506907 | IL | BLUE CROSS BLUE SHIELD | |
F80995 | IL | -- | |
40008621 | IL | RAILROAD MEDICARE |
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What is the unique 10-digit identifier code issued to Bryan W Rubach by the Centers for Medicare & Medicaid Services?
The Bryan W Rubach has been assigned the NPI (National Provider Identifier) 1912926205 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Bryan W Rubach?
The Bryan W Rubach is situated at 2040 Ogden Ave Ste 301, in the city of Aurora, state of IL, with the zip code 605047205.
What is the Bryan W Rubach's specialty and taxonomy code?
The Bryan W Rubach's specialty is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code is 207Yx0905X.
On what date did the Bryan W Rubach receive the assignment of its 1912926205 from the Centers for Medicare & Medicaid Services?
The Bryan W Rubach was issued its 1912926205 by the Centers for Medicare & Medicaid Services on 2006-07-18.
When was the information pertaining to Bryan W Rubach most recently updated or revised?
The details related to Bryan W Rubach, including its address, specialty, and other relevant information, were last updated or revised on 2020-07-20.