Individual
MRS. REBECCA ELLEN VEASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
856 NORTH CONVENT, SUITE C, BOURBONNAIS, IL 60914-0000
(815) 936-5167
(630) 914-2469
Mailing address
1000 REMINGTON BLVD, SUITE 100 (ATTN: MELVONNE JONES), BOLINGBROCK, IL 60440-0000
(630) 914-2417
(630) 914-2469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.001046
IL
363A00000X
Physician Assistant
085001046
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085001046
—
IL
01
—
4622394
BCBS
—
Enumeration date
05/25/2006
Last updated
01/11/2011
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