| Leslie S Rubeck, APRN, CNM | |
| 840 S Waukegan Rd Ste 208, Lake Forest, IL 60045-2619 | |
| (847) 295-0433 | |
| (855) 332-1934 | 
| Full Name | Leslie S Rubeck | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 840 S Waukegan Rd Ste 208, Lake Forest, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952688459 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209009238 (Illinois) | Primary | 
| 367A00000X | Advanced Practice Midwife | 209009238 (California) | Secondary | 
| Entity Name | Erie Family Health Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Leslie S Rubeck, APRN, CNM 840 S Waukegan Rd Ste 208, Lake Forest, IL 60045-2619 Ph: (847) 295-0433 | Leslie S Rubeck, APRN, CNM 840 S Waukegan Rd Ste 208, Lake Forest, IL 60045-2619 Ph: (847) 295-0433 | 
| Wendy D. Allen, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6343 Fax: 847-535-7823 | |
| Kelly Kathleen Forster Ivy, CNM, WHNP-BC Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 900 N Westmoreland Rd Ste 112, Lake Forest, IL 60045 Phone: 847-535-7057 Fax: 847-615-2260 | |
| Marisa Abbinanti, APRN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 900 N Westmoreland Rd Ste 112, Lake Forest, IL 60045 Phone: 847-535-7057 Fax: 847-615-2260 |