Individual
REBEKAH SOOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 226-2000
Mailing address
1217 HENDRICKS AVE, JACKSONVILLE, NC 28540-3858
(502) 655-2313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-12690
NC
363A00000X
Physician Assistant
029215-01
NY
363A00000X
Physician Assistant
Primary
085.009765
IL
363A00000X
Physician Assistant
50.005253RX
OH
363A00000X
Physician Assistant
5601010940
MI
363A00000X
Physician Assistant
MA062843
PA
Other
Enumeration date
02/08/2016
Last updated
01/20/2025
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