Provider Demographics
NPI:1134408446
Name:DUBYEL, RUTH T (DO)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:T
Last Name:DUBYEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1204
Mailing Address - Country:US
Mailing Address - Phone:331-221-1700
Mailing Address - Fax:331-221-2729
Practice Address - Street 1:932 LAKE ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1204
Practice Address - Country:US
Practice Address - Phone:331-221-1700
Practice Address - Fax:331-221-2729
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125059336207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology