REBECCA LIST

ROCKFORD, IL
NPI1639153687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036106574)
Enumeration Date2005-12-02
Last Update Date2007-09-10
Business Address
Dr. REBECCA LIST MD
1221 E STATE ST UNIVERSITY FAMILY HEALTH CENTER
ROCKFORD, IL 61104-2231
Phone number: 815-972-1000
Mailing Address
Dr. REBECCA LIST MD
1601 PARKVIEW AVE CREDENTIALING S200
ROCKFORD, IL 61107-1822
Phone number: 815-395-5851