Provider Demographics
NPI:1083503858
Name:VEGA PEREZ, RUBEN D (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:D
Last Name:VEGA PEREZ
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4720 S CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60632-2016
Mailing Address - Country:US
Mailing Address - Phone:312-942-2877
Mailing Address - Fax:312-942-7086
Practice Address - Street 1:4720 S CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60632-2016
Practice Address - Country:US
Practice Address - Phone:312-942-2877
Practice Address - Fax:312-942-7086
Is Sole Proprietor?:No
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125.086999207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine