Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OT011808 | PA |
N | 111NI0900X | Internist | OT011808 | PA |
Y | 207RH0002X | Hospice and Palliative Medicine | 036138884 | IL |
N | 208000000X | Pediatrician | OT011808 | PA |
NPI | 1245499672 |
---|---|
Provider Name | Dr. Rebecca E Puher |
First Address | Urbana, IL 61801-2500 |
Second Address | Urbana, IL 61801-2500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 08/10/2015 |