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

Clinton Brubaker, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811453459

Clinton Brubaker, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone: (312) 942-5509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 125.084090 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811453459
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 19, 2019
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address1653 W Congress Pkwy, Chicago, IL 60612-3833

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