Organization Active NPI

Gary V Rubin MD

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1407025059
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GARY V RUBIN MD
Practice address
7001 W Archer Ave
Chicago, IL 60638-2201
Phone
(773) 229-8818
Fax
(773) 229-8423
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Ms. Diane Sue Budvaitis
Title
Manager
Phone
(773) 229-8818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7001 W Archer Ave
Chicago, IL 60638-2201

Mailing address

7001 W Archer Ave
Chicago, IL 60638-2201
Phone (773) 229-8818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1407025059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382201",
            "telephone_number": "773-229-8818",
            "fax_number": "773-229-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382201",
            "telephone_number": "773-229-8818",
            "fax_number": "773-229-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY V RUBIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "BUDVAITIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-229-8818",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.