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NPI Code Detail

MEDICARE: CATHERINE AN REBOLLEDO APN, FNP-BC

MEDICARE:   CATHERINE AN REBOLLEDO  APN, FNP-BC
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
1363LF0000XFamily Nurse Practitioner277002022IL

General Provider Information

NPI Number : 1629512850
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE AN REBOLLEDO APN, FNP-BC
Provider Business Mailing Address
First Line : 3520 MILWAUKEE AVE UNIT 106
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-7130
Country : US
Telephone Number : 224-522-9798
Fax Number :
Provider Business Practice Location Address
First Line : 3520 MILWAUKEE AVE UNIT 106
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-7130
Country : US
Telephone Number : 224-522-9798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2016
Last Update Date : 11/29/2024

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Directions to “ CATHERINE AN REBOLLEDO APN, FNP-BC” Practice Location

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