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Individual

DR. REBECCA E MCFALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-4094
(708) 684-5141
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-112774
IL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
036-112774
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021622158
BLUE SHIELD GROUP NUMBER
IL
05
036112774
IL
Enumeration date
09/08/2005
Last updated
03/20/2025
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