DERRICK REUBEN
NPI 1629733563
Point of Service in Matteson, IL

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: July 19, 2026.

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
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

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Emergency Medicine (Emergency Medical Services)
4108 APPLEWOOD LN
MATTESON, IL 60443
Clinical Medical Laboratory
4108 APPLEWOOD LN
MATTESON, IL 60443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629733563, enumerated as an "individual" on November 04, 2021.

The provider is located at 4108 APPLEWOOD LN MATTESON, IL 60443 and the phone number is (708) 699-5078.

Point of Service with taxonomy code 305S00000X.