Ruben A Medrano MD

NPI 1073509683 - Internal Medicine - 207R00000X

NPI Details
NPI 1073509683
Gender Male
Enumeration Date 09/20/2005
Last Updated 09/23/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1000 W HARLEM AVE
MONMOUTH IL, 61462-1007, US
Phone (309) 734-1414
Fax (309) 734-0323
Business Location
1000 W HARLEM AVE
MONMOUTH IL, 61462-1007, US
Phone (309) 734-1414
Fax (309) 734-0323
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036095457
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According to our database, Dr. Ruben A Medrano MD NPI is 1073509683, taxonomy code is 207R00000X and license number is 036095457, license state is located at Illinois. Ruben A Medrano MD physically located at 1000 W Harlem Ave, Monmouth IL, 61462-1007. NPI Number Ruben A Medrano MD has the Individual type.

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1073509683 NPI number is provided on an as is basis without warranty of any kind. 1073509683 is maintained by the National Plan & Provider Enumeration System. The contents of Ruben A Medrano MD are for informational purposes only.