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1639153687
REBECCA LIST
ROCKFORD, IL
NPI
1639153687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036106574)
Enumeration Date
2005-12-02
Last Update Date
2007-09-10
Business Address
Dr. REBECCA LIST MD
1221 E STATE ST UNIVERSITY FAMILY HEALTH CENTER
ROCKFORD, IL 61104-2231
Phone number: 815-972-1000
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Mailing Address
Dr. REBECCA LIST MD
1601 PARKVIEW AVE CREDENTIALING S200
ROCKFORD, IL 61107-1822
Phone number: 815-395-5851
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