Healthcare Provider Details

I. General information

NPI: 1902912967
Provider Name (Legal Business Name): REBEKAH E CAREY DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBEKAH E ALBRECHT

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 05/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9721 NORTH ALPINE ROAD
MACHESNEY PARK IL
61115-1664
US

IV. Provider business mailing address

9721 NORTH ALPINE ROAD
MACHESNEY PARK IL
61115-1664
US

V. Phone/Fax

Practice location:
  • Phone: 815-484-6300
  • Fax: 815-395-2021
Mailing address:
  • Phone: 815-484-6300
  • Fax: 815-395-2021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number209015471
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: