MEDICARE: EFRAT REBISH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	070014350	OTHER	IL	LICENSE#

General Provider Information

NPI Number	:	1184770802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EFRAT REBISH

Provider Business Mailing Address
First Line	:	399 INDIAN HILL DR
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-1922
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	399 INDIAN HILL DR
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-1922
Country	:	US
Telephone Number	:	847-630-2541
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	01/21/2014

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Directions to “ EFRAT REBISH ” Practice Location

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