Keith, Rebecca S

Keith, Rebecca S is an individual health care provider with primary practice located at 355 W Northwest Hwy , Palatine IL 60067-2414. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Keith, Rebecca S can be contacted via phone (847) 221-4700.

Contact Information

Primary practice address
355 W Northwest Hwy Palatine IL 60067-2414
Phone: (847) 221-4700
Fax: (847) 221-4796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036113736 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036113736 Illinois

Profile Details

NPI number 1104854785
LBN Legal business name Keith, Rebecca S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 1st, 2021 - about 3 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 1104854785 NPPES
Illinois MEDICAID 0361137361
Illinois Other 036113736

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