Provider Demographics
NPI:1457008765
Name:RUBINA QUADRI INC
Entity Type:Organization
Organization Name:RUBINA QUADRI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAYLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALUNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-883-8959
Mailing Address - Street 1:8872 JODY LN APT 2G
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-7302
Mailing Address - Country:US
Mailing Address - Phone:224-388-9877
Mailing Address - Fax:949-404-6696
Practice Address - Street 1:3435 DEMPSTER ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2441
Practice Address - Country:US
Practice Address - Phone:224-388-9877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RUBINA QUADRI INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center