Rebuck, David Aaron
Rebuck, David Aaron is an individual health care provider with primary practice located at 350 S Northwest Hwy Ste 106 , Park Ridge IL 60068-4262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Rebuck, David Aaron can be contacted via phone (847) 470-1500.Contact Information
Primary practice address
350 S Northwest Hwy Ste 106
Park Ridge IL 60068-4262
Phone: (847) 470-1500
Fax: (847) 470-1550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036.122111 | Illinois |
Profile Details
| NPI number | 1689809808 |
|---|---|
| LBN Legal business name | Rebuck, David Aaron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2009 |
| Last updated | Dec 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689809808 | NPPES |
| Illinois | MEDICAID | 036122111 |
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