Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa M Daul Ruben, PA-C

Individual provider Surgical Physician Assistant · NPI 1528516762

Lisa M Daul Ruben, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2016, 10 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

259 E Erie St Ste 1600
Chicago, IL 60611-3111
Phone: (312) 695-6868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2650 Ridge Ave, Evanston, IL 60201-1718 — (847) 570-1271

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006020 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1528516762
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 16, 2016
Last updated in NPPESFebruary 8, 2022
Certification dateFebruary 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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