Individual
DR. RONALD MICHAEL REBMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
736 FLORSHEIM DR, SUITE 12, LIBERTYVILLE, IL 60048-3704
(847) 680-3900
(847) 680-2026
Mailing address
736 FLORSHEIM DR, SUITE 12, LIBERTYVILLE, IL 60048-3704
(847) 680-3900
(847) 680-2026
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038-005127
IL
111NS0005X
Sports Physician Chiropractor
038-005127
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4922462
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/03/2006
Last updated
10/13/2023
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