Ruben a Inocencio, MD.S.C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36061018 Issued in IL

Legal business name

RUBEN A INOCENCIO, MD.S.C

Practice address

4801 W Lake St
Chicago, IL 60644-2609

Phone

(773) 378-8100

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Ruben A Inocencio, MD

Title

Owner

Phone

(773) 406-4660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922214428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7518 TRIPP AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763812",
            "telephone_number": "773-447-7032",
            "fax_number": "847-675-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606442609",
            "telephone_number": "773-378-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN A INOCENCIO, MD.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INOCENCIO",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-406-4660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36061018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ruan, DO
• Wanrong Ruan, DMD
• Sarah E Ruban, C.R.N.A.
• Steven H Rube, M.D.
• Helene G Rubeiz
• Alyssa Ruben
• Chantal Ruben, PA-C, MPH
• Max Roland Ruben, MD
• Ari B Rubenfeld, M.D.
• Jeffrey Rubens, M.D.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.