Individual
MRS. REBECCA GAMBLE HOUGLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
915 S WAUKEGAN RD, LAKE FOREST, IL 60045-2654
(847) 234-8866
(847) 223-6098
Mailing address
915 S WAUKEGAN RD, LAKE FOREST, IL 60045-2654
(847) 234-8866
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-002288
IL
Other
Enumeration date
10/11/2006
Last updated
03/06/2017
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