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Individual

REBEKHA NEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1400 CHARLES ST, ROCKFORD, IL 61104-2224
(815) 489-4267
(815) 966-3967
Mailing address
PO BOX 15785, LOVES PARK, IL 61132-5785
(815) 654-7772
(815) 654-7009

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036093182
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036063669
IL
Enumeration date
02/02/2006
Last updated
07/18/2007
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