SANDER RUBIN (NPI# 1871905703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871905703 |
| Entity Type | Individual |
| Full Name | SANDER RUBIN |
| Credential | M.D. |
| Practice Address |
27650 Ferry Rd Warrenville IL 60555 |
| Mailing Address |
680 North Lake Shore Drive 1000 Chicago IL 60611 |
| Practice Telephone | 6302252663 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2018-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
036146552 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3231 Euclid Ave Fl 5, Macneal Family Medicine Center, Berwyn, IL 604024603 | 7087832000 | 7087833656 |
| 885 Roosevelt Rd, Glen Ellyn, IL 60137 | 6302252663 |
| Street Address |
27650 FERRY RD |
| City | WARRENVILLE |
| State | IL |
| Zip Code | 60555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786465 | Laurie A. Morgan | Physician Assistant | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2005-08-03 |
| 1528585155 | Megan Wojowski | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2017-08-24 |
| 1689120065 | Lauren Roth | Physician Assistant | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2016-08-26 |
| 1881077048 | Daniel Philip Jonas | Physician Assistant | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-07-07 |
| 1730579590 | Katelynn Shilka | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-02-02 |
| 1699164475 | Laura E Conte | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-01-15 |
| 1992102834 | Daniel L Lowder | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2014-11-20 |
| 1437553781 | Danielle J Murphy | Physician Assistant | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2014-10-15 |
| 1518395946 | Jennifer Gall | Physician Assistant | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2013-10-22 |
| 1144654351 | Florencia A Rider | Physical Therapist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2013-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944546 | Deloris Abrahams Morgan | Physical Therapist | Symbria Rehab, 28100 Torch Parkway Suite 600, Warrenville, IL 60555 | 2020-02-13 |
| 1306479894 | Lauri Ann Mccrorey | Physical Therapist | Symbria Rehab 28100 Torch Parkway, Suite 600, 600, Warrenville, IL 60555 | 2020-02-13 |
| 1699241455 | Jason Villanueva | Occupational Therapist | 2 S 521 River Oaks Dr, Warrenville, IL 60555 | 2018-10-19 |
| 1558885715 | Carol Renee Powers | Nurse Practitioner | 28375 Davis Parkway, Suite 903, Warrenville, IL 60555 | 2017-07-31 |
| 1245613249 | Bryce Alan Larson | Dentist | 28377 Davis Pkwy Ste 609, Warrenville, IL 60555 | 2015-07-08 |
| 1982092078 | Metropolitan Family Services | Community/Behavioral Health | 27475 Ferry Road Suite 120, Americenter of Naperville Warrenville, Warrenville, IL 60555 | 2014-12-26 |
| 1306248505 | A & A Clinical Counseling Solutions, Inc. | Psychologist | 4580 Weaver Parkway Suite 204, Warrenville, IL 60555 | 2014-09-18 |
| 1538412242 | Kirsten Holly Rasmussen | Counselor | 29w120 Butterfield Road, Suite 104 A, Warrenville, IL 60555 | 2012-10-18 |
| 1871881110 | Marianne Huml | Registered Nurse | 4405 Weaver Parkway, Suite 201, Central Dupage Hospital Cancer Center, Warrenville, IL 60555 | 2011-07-20 |
| 1649405341 | James Wade | Surgery | 4405 Weaver Parkway, Warrenville, IL 60555 | 2009-05-26 |
| Find all providers in zip 60555 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310365 | Matthew D Gimre | Family Medicine | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2005-10-19 |
| 1881688638 | Brian Michael Babka | Family Medicine | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1821438185 | Marianne Hana | Family Medicine | 60 Orland Square Dr Ste 101, Orland Park, IL 60462 | 2013-07-01 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1477734150 | Sashil Singh Kapur | Family Medicine | 415 N Lasalle Street, Suite 100, Chicago, IL 60654 | 2007-11-21 |
| 1659562585 | Ketan R Mody | Family Medicine | 760 Pasquinelli Dr Ste 304, Westmont, IL 60559-1290 | 2007-08-06 |
| 1285841544 | Arthur Aragones | Family Medicine | 135 E Irving Park Rd, Streamwood, IL 60107-2950 | 2007-05-17 |
| 1003028150 | Jill Wirth-rissman | Family Medicine | 205 N Cummings Ln, Washington, IL 61571-2181 | 2007-05-03 |
| 1497838676 | Christopher Eric Cieurzo | Family Medicine | 510 Pow Mia St Bldg P40, Scott Afb, IL 62225-5020 | 2006-10-23 |
| Find all providers with the same taxonomy | ||||
| City | WARRENVILLE |
| Zip Code | 60555 |
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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.