Most Relevant Information
Provider Data
| NPI Number: | 1003456369 |
| Provider Name: | RACHAEL D RUBIN PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 071010215 |
Most Important Dates
| Enumeration Date: | 01/14/2020 |
| Last Updated: | 03/04/2020 |
Provider Practice Location
1802 S MATTIS AVE
CHAMPAIGN
IL
618215923
Practice Location Phone/Fax
| Phone: | 2172559580 |
| Fax: | 2172559650 |
Provider Mailing Location
710 S PAULINA ST
CHICAGO
IL
606123808
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |