NPI | 1962929018 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD M REBMANN President/Owner 847-680-3900 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 111NR0400X |
208100000X Physical Medicine & Rehabilitation | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2017-08-29 |
Last Update Date | 2023-10-13 |