Individual
REBECCA A SHILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 W TAYLOR ST, SUITE 3C, CHICAGO, IL 60612-4795
(312) 996-8039
(312) 996-4665
Mailing address
1801 W TAYLOR ST, SUITE 3C, CHICAGO, IL 60612-4795
(312) 996-8039
(312) 996-4665
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
01068211A
IN
207RP1001X
Pulmonary Disease Physician
Primary
036103320
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103320
—
IL
05
—
200805280
—
IN
Enumeration date
12/18/2006
Last updated
04/17/2014
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