Individual
DR. MAREK B REBANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2202 N LINCOLN AVE, SUITE #4, CHICAGO, IL 60614-7170
(773) 871-3444
(773) 871-7906
Mailing address
2202 N LINCOLN AVE, SUITE #4, CHICAGO, IL 60614-7170
(773) 871-3444
(773) 871-7906
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045460 2
—
IL
01
—
1615604
BCBS
IL
01
—
1635426
BCBS
IL
Enumeration date
08/22/2006
Last updated
02/26/2008
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