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NPI Code Detail

MEDICARE: REBECCA MARIN MD

MEDICARE: REBECCA MARIN MD
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
1208600000XSurgery Physician125.082960IL

General Provider Information

NPI Number : 1831893601
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA MARIN MD
Provider Business Mailing Address
First Line : 10040 SW 83RD AVE
Second Line :
City : MIAMI
State : FL
Zip : 33156-2402
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1782
Country : US
Telephone Number : 773-542-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2023
Last Update Date : 02/02/2026

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