Individual
REBECCA L ST. LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
225 W WASHINGTON ST STE 1500, CHICAGO, IL 60606-3485
(847) 504-5000
(847) 504-5015
Mailing address
W1374 AUBURN ASHFORD DR, CAMPBELLSPORT, WI 53010-3204
(920) 205-9214
(847) 504-5015
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
863
MN
213E00000X
Podiatrist
Primary
998
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497021034
—
WI
01
—
P01333543
RAILROAD MEDICARE
WI
Enumeration date
03/28/2012
Last updated
10/21/2025
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