| Rmu Neurology Sc | |
|
4121 Fairview Ave 204 Downers Grove IL 60515-2264 | |
| (630) 964-7136 | |
| (630) 353-0765 |
| Full Name | Rmu Neurology Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4121 Fairview Ave, Downers Grove, Illinois |
| Authorized Official Name and Position | Rodrigo M Ubiluz (OWNER) |
| Authorized Official Contact | 6309647136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rmu Neurology Sc 4121 Fairview Ave 204 Downers Grove IL 60515-2264 Ph: (630) 964-7136 | Rmu Neurology Sc 4121 Fairview Ave 204 Downers Grove IL 60515-2264 Ph: (630) 964-7136 |
| NPI Number | 1073529897 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 03/10/2017 |
| Medicare PECOS PAC ID | 5395818330 |
|---|---|
| Medicare Enrollment ID | O20080723000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073529897 | NPI | - | NPPES |
| 01632454 | Other | IL | BC/BS PROVIDER # |
| 036081581 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036081581 (Illinois) | Primary |
| Provider Name | Rodrigo M Ubilluz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811991383 PECOS PAC ID: 9638164429 Enrollment ID: I20040420000466 |
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