Provider Demographics
NPI:1972690212
Name:RUTENBERG, WILLIAM DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DAVID
Last Name:RUTENBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:135 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 152
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-8213
Mailing Address - Country:US
Mailing Address - Phone:847-465-9600
Mailing Address - Fax:847-465-9601
Practice Address - Street 1:135 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 152
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-8213
Practice Address - Country:US
Practice Address - Phone:847-465-9600
Practice Address - Fax:847-465-9601
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-05772208000000X, 2080P0202X
IL036057722080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C45326Medicare UPIN