DERRICK REUBEN
NPI 1629733563
Point of Service in Matteson, IL

Q: What is Derrick Reuben's NPI number?

The NPI number for Derrick Reuben is 1629733563. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Q: What is Derrick Reuben's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Reuben was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 04, 2021

4108 APPLEWOOD LN, MATTESON, IL 60443(708) 699-5078 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Derrick Reuben NPPES

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

DERRICK REUBEN (NPI 1629733563) is an individual point of service provider in Matteson, Illinois and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1629733563

Entity TypeIndividualMale

Primary Taxonomy305S00000X

Provider Legal NameDERRICK REUBEN

Location Address4108 APPLEWOOD LNMatteson, IL 60443-1903

Mailing Address4108 Applewood LnMatteson, IL 60443-1903 · (708) 699-5078

Phone(708) 699-5078

Sole ProprietorYes

Enumeration DateNovember 4, 2021

NPPES CertifiedNovember 4, 2021

✔ NPI 1629733563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

4108 APPLEWOOD LN, Matteson, IL 60443

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Other Providers at the Same Location NPPES 2

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

EVEREADY MULTIPLE SERVICES INC

Clinical Medical Laboratory

4108 APPLEWOOD LN
MATTESON, IL 60443

Cook County (708) 699-5078

EVEREADY MULTIPLE SERVICE INC

Emergency Medicine (Emergency Medical Services)

4108 APPLEWOOD LN
MATTESON, IL 60443

Cook County (708) 699-5078

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 Derrick Reuben's NPI number?

The NPI number for Derrick Reuben is 1629733563. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Where is Derrick Reuben located?

Derrick Reuben practices at 4108 Applewood Ln, Matteson, IL 60443. The listed phone number is (708) 699-5078.

What is Derrick Reuben's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Derrick Reuben was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.