Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 209011008 | IL |
N | 363LA2200X | Nurse Practitioner - Adult Health | 209.011008 | IL |
NPI | 1023448230 |
---|---|
Provider Name | Rebekkah Sobolewski |
First Address | Chicago, IL 60611-5969 |
Second Address | Chicago, IL 60611-5969 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2013 |
Last Update Date | 03/10/2020 |