Griesemer, Rebecca A
Griesemer, Rebecca A is an individual health care provider with primary practice located at 15 S Mchenry Rd , Buffalo Grove IL 60089-6705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Griesemer, Rebecca A can be contacted via phone (847) 618-0351.Contact Information
Primary practice address
15 S Mchenry Rd
Buffalo Grove IL 60089-6705
Phone: (847) 618-0351
Fax: (847) 618-0766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085-002393 | Illinois |
Profile Details
| NPI number | 1134222425 |
|---|---|
| LBN Legal business name | Griesemer, Rebecca A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Mar 16th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134222425 | NPPES |
| Illinois | Other | 085002393 | STATE LICENSE |
| Illinois | Other | 203535 | STATE LICENSE |
| Illinois | Other | 203536 | STATE LICENSE |
| Illinois | Other | 203537 | STATE LICENSE |
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