Rmu Neurology SC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036081581 Issued in IL

Legal business name

RMU NEUROLOGY SC

Practice address

4121 Fairview Ave
204
Downers Grove, IL 60515-2264

Phone

(630) 964-7136

Fax

(630) 353-0765

NPI assigned

Aug 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rodrigo M Ubiluz, MD

Title

Owner

Phone

(630) 964-7136

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodrigo M Ubilluz, M.D.

  • Neurology Physician
  • Downers Grove, IL
  • NPI 1811991383
  Medicare reassignment NPD
• Lijun He, N.P.

  • Nurse Practitioner
  • Joliet, IL
  • NPI 1619300977
  NPD (past)
• Simi Thomas, PT

  • Physical Therapist
  • Chicago, IL
  • NPI 1154793016
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1073529897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 FAIRVIEW AVE",
            "address_2": "204",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152264",
            "telephone_number": "630-964-7136",
            "fax_number": "630-353-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 FAIRVIEW AVE",
            "address_2": "204",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152264",
            "telephone_number": "630-964-7136",
            "fax_number": "630-353-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMU NEUROLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "UBILUZ",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-964-7136",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036081581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "01632454",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081581",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Patrice Riesmeyer
• Treneikeia Nelshandrea Riley
• Lauren E Ringel, M.S., CCC-SLP
• Rebecca Marie Rittgers, MSW, LCSW
• Frances Rivera, APRN
• Angelia Robbins, PMHNP
• Robert C Poulsom DDS Ms LTD
• Todd Arthur Robert, O.D.
• Robin B Blakkolb DDS LTD
• Robinson Transport

• Neurology Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.