BRYAN W RUBACH


Address: 2040 Ogden Ave Ste 301, Aurora, IL 60504-7205
Phone: 6309786895

BRYAN W RUBACH (NPI# 1912926205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912926205
Entity Type Individual
Full Name BRYAN W RUBACH
Credential M.D.
Practice Address 2040 Ogden Ave Ste 301
Aurora
IL 60504-7205
Practice Telephone 6309786895
Practice Fax Number 6303752905
Mailing Telephone 6309786895
Mailing Fax Number 6303752905
Enumeration Date 2006-07-18
Last Update Date 2020-07-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YX0905X Otolaryngology
Specialization: Otolaryngology/Facial Plastic Surgery
364032123 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD 4506907 01
IL F80995 05
IL RAILROAD MEDICARE 040008621 01

Office Location

Street Address 2040 OGDEN AVE STE 301
City AURORA
State IL
Zip Code 60504-7205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124163845 Cathleen Kovanic Audiologist 2040 Ogden Ave Ste 301, Aurora, IL 60504-7205 2007-02-20
1265451140 Stephen M Kelanic Otolaryngology 2040 Ogden Ave Ste 301, Aurora, IL 60504-7205 2006-07-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134631039 Kamala Lakshmipathy Physical Therapist 2021 Randi Drive, Aurora, IL 60504 2017-10-31
1891211710 Kenneth Vicencio Clinical Neuropsychologist 4100 Healthway Drive, Aurora, IL 60504 2017-08-22
1316499023 Wilcox and Wilcox, Inc Home Health 75 Executive Drive, Suite 301, Aurora, IL 60504 2016-10-28
1518315241 Kinsley Jin Family Medicine Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 2016-06-03
1609224211 Empower Health Services, LLC Clinic/Center 4205 Westbrook Dr, Aurora, IL 60504 2016-05-25
1275907883 Lolita Lajoyce Norris Private Vehicle 235 Kirkland Ln, Aurora, IL 60504 2015-11-19
1972917557 Elizabeth Sledge Occupational Therapist 1000 Celebration Dr, Aurora, IL 60504 2014-06-11
1962840330 Sparc Chiropractic, P.C. Chiropractor 800-2 Frontenac Road, #2, Aurora, IL 60504 2013-06-07
1932451952 Illinois Health Resources Inc Physical Therapist 1240 S Commons Dr, Aurora, IL 60504 2012-10-15
1376894501 Rush-copley Medical Group Family Medicine 2040 Ogden Ave., Suite 304, Aurora, IL 60504 2012-09-27
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Taxonomy Information

Taxonomy Code 207YX0905X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Otolaryngology/Facial Plastic Surgery

Taxonomy Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326338526 Sudeep Roy Otolaryngology 1640 N Arlington Heights Rd Ste 210, Arlington Heights, IL 60004-3985 2011-04-10
1487834958 Ryan C Vaughn Otolaryngology 814 E Woodfield Rd, Schaumburg, IL 60173-4714 2007-11-13
1023214426 Otolaryngology Associates Sc Otolaryngology 233 E Erie St Ste 804, Chicago, IL 60611-2906 2007-06-22
1982769717 Anthony James Geroulis Otolaryngology 330 West Frontage Rd., Northfield, IL 60093 2006-12-22
1821191404 Gary G Wiesman Otolaryngology 712 N Dearborn St, Chicago, IL 60654-3846 2006-09-07
1609805985 Howard Shane Kotler Otolaryngology 2555 S. Martin Luther King Dr., Chicago, IL 60616 2006-06-30
1447288303 Thomas E. Turcotte Jr. Otolaryngology 215 E. 1st St., Suite #315, Ksb Medical Group, Dixon, IL 61021 2006-06-29
1477184562 Chicago Nose and Sinus LLC Otolaryngology 680 N Lake Shore Dr Ste 1425, Chicago, IL 60611-4451 2020-01-28
1780935197 Jeffrey Ryan Sparks Otolaryngology 515 E Grant St, Suite 113, Macomb, IL 61455-3368 2012-09-25
1326321431 Bernard Carl Pecaro Otolaryngology 383 S Schmale Rd, Carol Stream, IL 60188-2756 2011-09-25
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City AURORA
Zip Code 60504

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Dataset Information

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.

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