| Doctor Name: | DR. PHYLLIS B RUBIN |
| NPI Number: | 1881768489 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY D |
| License Number: | 146001732 |
| Business Practice Address: | 715 Lake St Suite 720 Oak Park, IL - 60301 |
| Business Phone Number: | 7088480983 |
| Business Fax Number: | 7088480465 |
| Mailing Address: | 715 Lake St, Suite 720 OAK PARK |
| State: | IL |
| Postal Code: | 60301 |
| Phone Number: | 7088480983 |
| Fax Number: | 7088480465 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 10/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 146001732 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |