Provider Demographics
NPI:1902912967
Name:CAREY, REBEKAH E (DNP)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:E
Last Name:CAREY
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:E
Other - Last Name:ALBRECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9721 NORTH ALPINE ROAD
Mailing Address - Street 2:
Mailing Address - City:MACHESNEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61115-1664
Mailing Address - Country:US
Mailing Address - Phone:815-484-6300
Mailing Address - Fax:815-395-2021
Practice Address - Street 1:9721 NORTH ALPINE ROAD
Practice Address - Street 2:
Practice Address - City:MACHESNEY PARK
Practice Address - State:IL
Practice Address - Zip Code:61115-1664
Practice Address - Country:US
Practice Address - Phone:815-484-6300
Practice Address - Fax:815-395-2021
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209015471363LX0001X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41276000Medicaid
WI000120055Medicare ID - Type Unspecified
WI41276000Medicaid