Individual provider Active NPI

Mark N. Rubin, MD

  • Neurology Physician
  • Chicago, IL
National Provider Identifier
1104055169
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
36.138197 Issued in IL
Practice address
2045 W Grand Ave Ste B
Chicago, IL 60612-1577
Phone
(630) 447-0561
NPI assigned
Jul 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 36.138197 IL
Neurology Physician 2084N0400X 36.138197 IL Primary

Addresses

Primary practice location

2045 W Grand Ave Ste B
Chicago, IL 60612-1577

Mailing address

2045 W Grand Ave Ste B
Chicago, IL 60612-1577
Phone (630) 447-0561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN, PA, CT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150812007830 IL Practitioner - Neurology 9931394491 Reassigns benefits to 2 organizations
I20191008004013 TN Practitioner - Neurology 9931394491 Reassigns benefits to 1 organization
I20211123000855 PA Practitioner - Neurology 9931394491 Reassigns benefits to 1 organization
I20220120001104 CT Practitioner - Neurology 9931394491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2180 Pfingsten Rd
FL 2
Glenview, IL 60026-1339
Phone (847) 503-2005

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36.138197ILMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System CurrentSince Aug 12, 2020 Accepting new patients
Ut Medical Group Inc Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 20, 2015 Accepting new patients
The Milton S Hershey Medical Center Physician Group Neurology CurrentSince Dec 1, 2021 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Sound Vascular Neurology PLLC Vascular Neurology CurrentSince Oct 1, 2025 Accepting new patients
Prospect CT Medical Foundation, Inc. Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Dec 1, 2021 Accepting new patients
Ut Medical Group, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Mount Carmel Health System Internal Medicine CurrentSince Aug 12, 2020 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

9532 Eagle Way
Chicago, IL 60678

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2180 Pfingsten Rd
Fl 2
Glenview, IL 60026
Phone (847) 503-2005

1552 S Route 59
Naperville, IL 60564
Phone (815) 414-6498

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

1407 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 866-8360

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

Interoperability endpoints

  • Direct secure messaging: mrubin282249@direct.edward.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1104055169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121577",
            "telephone_number": "630-447-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121577",
            "telephone_number": "630-447-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "MARK",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "IL",
            "license": "36.138197",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "36.138197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.