Individual
DR. DAVID AARON REBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 S NORTHWEST HWY STE 106, PARK RIDGE, IL 60068-4262
(847) 470-1500
(847) 470-1550
Mailing address
350 S NORTHWEST HWY STE 106, PARK RIDGE, IL 60068-4262
(847) 470-1500
(847) 470-1550
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036.122111
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036122111
—
IL
Enumeration date
05/18/2009
Last updated
12/08/2021
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