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NPI Code Detail

MEDICARE: REBECCA CHRISTOPHERSEN APRN

MEDICARE: REBECCA CHRISTOPHERSEN APRN
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
1363L00000XNurse Practitioner209006341IL

General Provider Information

NPI Number : 1376683383
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA CHRISTOPHERSEN APRN
Provider Business Mailing Address
First Line : 625 N MICHIGAN AVE
Second Line : SUITE 2550
City : CHICAGO
State : IL
Zip : 60611-3110
Country : US
Telephone Number : 312-264-9797
Fax Number : 312-640-7736
Provider Business Practice Location Address
First Line : 625 N MICHIGAN AVE
Second Line : SUITE 2550
City : CHICAGO
State : IL
Zip : 60611-3110
Country : US
Telephone Number : 312-264-9797
Fax Number : 312-640-7736
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 08/20/2014

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Directions to “ REBECCA CHRISTOPHERSEN APRN” Practice Location

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