Individual provider Active NPI

Zachary Rubin

  • Allergy & Immunology Physician
  • Elmhurst, IL
National Provider Identifier
1750775185
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
36145196 Issued in IL
Practice address
360 W Butterfield Rd Ste 140
Elmhurst, IL 60126-5025
Phone
(630) 574-0460
Fax
(630) 574-0470
NPI assigned
Mar 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 36145196 IL Primary

Addresses

Primary practice location

360 W Butterfield Rd Ste 140
Elmhurst, IL 60126-5025

Mailing address

360 W Butterfield Rd Ste 140
Elmhurst, IL 60126-5025
Phone (630) 574-0460

Other practice location 1

1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273

Other practice location 2

1 Barnes Jew Hosp Plz
Saint Louis, MO 63110
Phone (314) 362-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200807000826 IL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 4385953553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Brook Allergists SCGroup PAC ID 7911901525, 3 clinicians

Practice addresses (Care Compare)

1220 Hobson Rd
Suite 114
Naperville, IL 60540-8137
Phone (630) 961-2960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36145196ILMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Brook Allergists SC Allergy & Immunology CurrentSince Jul 13, 2020 Accepting new patients

Locations

6800 Main St
Ste 110
Downers Grove, IL 60516
Phone (630) 789-0575

360 W Butterfield Rd
Ste 140
Elmhurst, IL 60126
Phone (630) 574-0460

1220 Hobson Rd
Ste 114
Naperville, IL 60540
Phone (630) 574-0460

24600 W 127th St
Bldg B
Plainfield, IL 60585
Phone (815) 267-8825

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1750775185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD STE 140",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265025",
            "telephone_number": "630-574-0460",
            "fax_number": "630-574-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD STE 140",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265025",
            "telephone_number": "630-574-0460",
            "fax_number": "630-574-0470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "866-600-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Barnes Jew Hosp Plz",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "63110",
            "country_code": "US",
            "telephone_number": "314-362-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "36145196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.