Nishimoto, Rebecca F

Nishimoto, Rebecca F is an sole proprietor health care provider with primary practice located at 777 Park Ave W , Highland Park IL 60035-2433. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Nishimoto, Rebecca F can be contacted via phone (847) 926-5844.

Contact Information

Primary practice address
777 Park Ave W Highland Park IL 60035-2433
Phone: (847) 926-5844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 085002085 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085002085 Illinois

Profile Details

NPI number 1073624664
LBN Legal business name Nishimoto, Rebecca F
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Nov 2nd, 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 1073624664 NPPES
Other P00417652 RAILROAD MCR

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