| Rim Joubran | |
|
675 W North Ave Ste 104 Melrose Park IL 60160 | |
| (708) 681-7695 | |
| (708) 345-7112 |
| Full Name | Rim Joubran |
|---|---|
| Speciality | Family Medicine |
| Location | 675 W North Ave, Melrose Park, Illinois |
| Authorized Official Name and Position | Rim Joubran (MD) |
| Authorized Official Contact | 7086817695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rim Joubran 675 W North Ave Ste 104 Melrose Park IL 60160 Ph: (708) 681-7695 | Rim Joubran 675 W North Ave Ste 104 Melrose Park IL 60160 Ph: (708) 681-7695 |
| NPI Number | 1497792840 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 11/05/2014 |
| Medicare PECOS PAC ID | 5496845448 |
|---|---|
| Medicare Enrollment ID | O20071214000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497792840 | NPI | - | NPPES |
| 3362078002 | Other | IL | CIGNA |
| 036091925 | Medicaid | IL | |
| 21623287 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36091925 (Illinois) | Primary |
| Provider Name | Rim Joubran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164489241 PECOS PAC ID: 9335138312 Enrollment ID: I20040506001334 |
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