MR. ROBERT E RUDERMAN M.D.
NPI 1093740730
Pediatrics - Adolescent Medicine in Highland Park, IL

Active since July 11, 2006
1160 PARK AVENUE WEST, HIGHLAND PARK, IL 60035(847) 432-8422(847) 432-9480 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Robert E Ruderman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROBERT E RUDERMAN M.D. (NPI 1093740730) is an individual adolescent medicine provider in Highland Park, Illinois, licensed in Illinois (036-053789) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1093740730
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameMR. ROBERT E RUDERMANCredential: M.D.
Location Address1160 PARK AVENUE WESTHighland Park, IL 60035
Mailing Address900 North Westmoreland Road #217Lake Forest, IL 60045 · (847) 432-8422 · Fax (847) 432-9480
Fax(847) 432-9480
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJanuary 24, 2013
NPI 1093740730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in IL · 036-053789
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1160 PARK AVENUE WEST, Highland Park, IL 60035

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Adolescent Medicine)
1160 PARK AVENUE WEST
HIGHLAND PARK, IL 60035
Oral & Maxillofacial Surgery
1160 PARK AVENUE WEST, SUITE 2 - SOUTH
HIGHLAND PARK, IL 60035
Pediatrics (Adolescent Medicine)
1160 PARK AVENUE WEST
HIGHLAND PARK, IL 60035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Ruderman's NPI number?

The NPI number for Robert Ruderman is 1093740730. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Robert Ruderman located?

Robert Ruderman practices at 1160 Park Avenue West, Highland Park, IL 60035. The listed phone number is (847) 432-8422.

What is Robert Ruderman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Robert Ruderman was last updated on January 24, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.