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 is a Family Medicine Physician 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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