Houglum, Rebecca Gamble
Houglum, Rebecca Gamble is an individual health care provider with primary practice located at 915 S Waukegan Rd , Lake Forest IL 60045-2654. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Houglum, Rebecca Gamble can be contacted via phone (847) 234-8866.Contact Information
Primary practice address
915 S Waukegan Rd
Lake Forest IL 60045-2654
Phone: (847) 234-8866
Fax: (847) 223-6098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085-002288 | Illinois |
Profile Details
| NPI number | 1245328582 |
|---|---|
| LBN Legal business name | Houglum, Rebecca Gamble |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Mar 6th, 2017 - about 7 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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