Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ruben a Inocencio, MD S C

Organization Family Medicine Physician · NPI 1922214428

Ruben a Inocencio, MD S C provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

4801 W Lake St
Chicago, IL 60644-2609
Phone: (773) 378-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 36061018 (IL)

Record details

NPI number1922214428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruben Inocencio — Owner · (773) 406-4660
NPI enumeratedMay 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address7518 Tripp Ave, Skokie, IL 60076-3812

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