MAX ROLAND RUBEN (NPI# 1073137279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073137279 |
| Entity Type | Individual |
| Full Name | MAX ROLAND RUBEN |
| Credential | MD |
| Practice Address |
5359 W Fullerton Ave Chicago IL 60639-1450 |
| Practice Telephone | 7738362785 |
| Practice Fax Number | 7738367381 |
| Mailing Telephone | 7738362785 |
| Mailing Fax Number | 7738367381 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5359 W FULLERTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60639-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760466379 | Marjorie Kozlowski | Nurse Practitioner | 5359 W Fullerton Ave, Chicago, IL 60639-1450 | 2005-12-06 |
| 1699390534 | Maria Allemana | Social Worker | 5359 W Fullerton Ave, Chicago, IL 60639-1450 | 2020-06-16 |
| 1043834252 | Nicole Kyoko Runkle | Student in an Organized Health Care Education/Training Program | 5359 W Fullerton Ave, Chicago, IL 60639-1450 | 2020-06-03 |
| 1891340717 | Felisa Gutierrez | Social Worker | 5359 W Fullerton Ave, Chicago, IL 60639-1450 | 2019-08-07 |
| 1376101154 | Maria Fernanda Perdomo Meza | Student in an Organized Health Care Education/Training Program | 5359 W Fullerton Ave, Chicago, IL 60639-1450 | 2019-06-05 |
| 1386202174 | Melany Lopez Schiller | Student in an Organized Health Care Education/Training Program | 5359 W Fullerton Ave, Chicago, IL 60639-1450 | 2019-06-05 |
| 1609360841 | Janessy Vasquez | Family Medicine | 5359 W Fullerton Ave, Chicago, IL 60639-1450 | 2018-06-20 |
| 1932690757 | Audrey Lela Hertenstein Perez | Student in an Organized Health Care Education/Training Program | 5359 W Fullerton Ave, Chicago, IL 60639-1450 | 2018-05-29 |
| 1154812931 | Elizabeth Ramirez | Student in an Organized Health Care Education/Training Program | 5359 W Fullerton Ave, Chicago, IL 60639-1450 | 2018-05-29 |
| 1952813842 | Julie Tea | Nurse Practitioner | 5359 W Fullerton Ave, Chicago, IL 60639-1450 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1568012375 | Ellen E Cox | Physical Therapist | 4369 W Diversey Ave, Chicago, IL 60639 | 2019-09-13 |
| 1306379268 | Michael Duarte | Family Medicine | 4417 W Diversey Ave, Chicago, IL 60639 | 2017-04-07 |
| 1013464593 | Ismile Dental | Dentist | 4953 West Fullerton Ave, Chicago, IL 60639 | 2016-09-01 |
| 1952773566 | Flor Cortes | Pharmacist | 4626 W Diversey, Chicago, IL 60639 | 2015-10-22 |
| 1205178654 | The Head Injury Center for Prevention and Community | Case Management | 1732 N. Narragansett Ave, Chicago, IL 60639 | 2013-03-25 |
| 1013299262 | Aamer Arboleda | Pharmacist | 1606 N. Mobile Ave., Chicago, IL 60639 | 2011-09-14 |
| 1295037927 | Mary Veronica Galiotto | Pharmacist | 2920 N Narragansett, Chicago, IL 60639 | 2010-12-01 |
| 1295067478 | Galileo Optical Co. | Eyewear Supplier (Equipment, not the service) | 5759 W. Fullerton, Chicago, IL 60639 | 2010-02-12 |
| 1831424548 | Sonrisa Family Dental At The Hall, P.C. | Dentist | 4608 A & B West Diversey Avenue, Chicago, IL 60639 | 2009-10-14 |
| Find all providers in zip 60639 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1275146599 | Ryan Mather | Student in an Organized Health Care Education/Training Program | 155 N Michigan Ave Ste 566, Chicago, IL 60601-7799 | 2020-08-26 |
| 1831701010 | Alexandra Klonis | Student in an Organized Health Care Education/Training Program | 676 N Saint Clair St Ste 6-108, Chicago, IL 60611-2927 | 2020-08-19 |
| 1851903389 | Brittney Christine Evans | Student in an Organized Health Care Education/Training Program | 1901 N Clybourn Ave Ste 302&304, Chicago, IL 60614-5090 | 2020-08-17 |
| 1205446358 | Kai Lai Chu | Student in an Organized Health Care Education/Training Program | 600 N Fairbanks Ct Unit 3505, Chicago, IL 60611-5869 | 2020-08-04 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1407474463 | Madison Nicole Schulenberg | Student in an Organized Health Care Education/Training Program | 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 | 2020-07-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.