Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 209.019708 | IL |
N | 207XS0106X | Orthopaedic Hand Surgeon | 209.019708 | IL |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 209.019708 | IL |
N | 207XS0117X | Orthopaedic Spine Surgeon | 209.019708 | IL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 209.019708 | IL |
Y | 363L00000X | Nurse Practitioner | 209019708 | IL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 209.019708 | IL |
NPI | 1679119945 |
---|---|
Provider Name | Rebecca June Anstee |
First Address | Evanston, IL 60201-1700 |
Second Address | Chicago, IL 60625-3645 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2019 |
Last Update Date | 18/11/2020 |