Provider Demographics
NPI:1851469506
Name:QUADRI, RUBEENA (MD)
Entity Type:Individual
Prefix:DR
First Name:RUBEENA
Middle Name:
Last Name:QUADRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 83RD ST
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-5612
Mailing Address - Country:US
Mailing Address - Phone:630-910-0060
Mailing Address - Fax:630-910-0036
Practice Address - Street 1:2821 83RD ST
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-5612
Practice Address - Country:US
Practice Address - Phone:630-910-0060
Practice Address - Fax:630-910-0036
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036114436207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036114436Medicaid
ILI50676Medicare UPIN
IL036114436Medicaid