Individual provider · NPI-1

Peggy Fitch Rubenstein, APN-CNP

Nurse Practitioner, Pediatrics · Evanston, IL

NPI number1346579133
StatusActive
Last updated in NPPESApr 6, 2012

Details

NPI
1346579133
Entity type
Individual (NPI-1)
Name
Ms. Peggy Fitch Rubenstein
Credential
APN-CNP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 8, 2009
Last updated
Apr 6, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics209003072ILYes

Other names

  • Mary Margaret Fitch (Former Name)

Practice location

2650 Ridge Ave
Evanston, IL 60201-1718

Phone 847-570-2704

Mailing address

2650 Ridge Ave
Evanston, IL 60201-1718

Phone 847-570-2704

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