Andersen, Rebecca J

Andersen, Rebecca J is an individual health care provider with primary practice located at 4201 W Medical Center Dr , Mchenry IL 60050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Andersen, Rebecca J can be contacted via phone (815) 759-3100.

Contact Information

Primary practice address
4201 W Medical Center Dr Mchenry IL 60050
Phone: (815) 759-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 242008 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036118364 Illinois

Profile Details

NPI number 1699848705
LBN Legal business name Andersen, Rebecca J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated May 14th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699848705 NPPES
Illinois Other 036118364 STATE LICENSE

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