ROBERT E. RUDERMAN M.D. – NPI #1093740730
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

ROBERT RUDERMAN is a physician located in HIGHLAND PARK, IL. NPPES has assigned the NPI number 1093740730 to ROBERT RUDERMAN on July 11, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 13 years ago on Jan 24, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERT RUDERMAN below.

NPI Profile for
ROBERT E. RUDERMAN

NPI Number
1093740730
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROBERT E. RUDERMAN
Credentials
M.D.
Primary location
1160 PARK AVENUE WEST
HIGHLAND PARK, IL 60035
Phone: (847) 432-8422 Fax: (847) 432-9480
Mailing address
900 NORTH WESTMORELAND ROAD #217
LAKE FOREST, IL 60045
Phone: (847) 432-8422 Fax: (847) 432-9480
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
IL 036-053789

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.