Maczko, Rebecca Sue

Maczko, Rebecca Sue is an individual health care provider with primary practice located at 27650 Ferry Rd , Warrenville IL 60555-3845. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Maczko, Rebecca Sue can be contacted via phone (630) 225-2345.

Contact Information

Primary practice address
27650 Ferry Rd Warrenville IL 60555-3845
Phone: (630) 225-2345
Fax: (630) 225-2399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085-003248 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-003248 Illinois

Profile Details

NPI number 1942457734
LBN Legal business name Maczko, Rebecca Sue
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2008
Last updated Jul 11th, 2022 - about 2 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 1942457734 NPPES
Illinois Other P01279235 RR MEDICARE

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