Individual
JESSICA IRENE REBSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6240 W 55TH ST, CHICAGO, IL 60638-2531
(773) 284-2200
(773) 284-5833
Mailing address
8029 LAKE ST UNIT 2, RIVER FOREST, IL 60305-1640
(708) 421-2214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.018138
IL
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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