IndividualActive
Bruce Reuben, D.D.S., M.S.
NPI 1508864158 · Oral and Maxillofacial Surgery (Dentist) · Chicago, IL
Provider details
- NPI number
- 1508864158
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S., M.S.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
4200 W Peterson Ave
Suite 128
Chicago, IL 60646-6074
Phone: (773) 777-6332
Fax: (773) 777-6318
Approximate (ZIP-level) locationGet directions
Mailing address
4200 W Peterson Ave
Chicago, IL 60646-6074
Registry dates
- Enumerated
- 2005-07-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.