Individual
REBECCA WILLIAMS DODICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 CENTRAL ST STE 615, EVANSTON, IL 60201
(847) 657-1900
Mailing address
1000 CENTRAL ST STE 615, EVANSTON, IL 60201-1779
(847) 657-1900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041462702
IL
363L00000X
Nurse Practitioner
Primary
209017359
IL
Other
Enumeration date
06/19/2018
Last updated
03/30/2020
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