Provider Demographics
NPI:1457466468
Name:LUBURIC, RENEE APPLE-CLOUD (MD)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:APPLE-CLOUD
Last Name:LUBURIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:APPLE
Other - Last Name:CLOUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:666 DUNDEE RD STE 1501
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2737
Mailing Address - Country:US
Mailing Address - Phone:847-733-4300
Mailing Address - Fax:
Practice Address - Street 1:666 DUNDEE RD STE 1501
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2737
Practice Address - Country:US
Practice Address - Phone:847-733-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1057842084P0800X
WAMD000452932084P0800X
IL0361187822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry