Doctor Name: | STEPHANIE M. RABE |
NPI Number: | 1083968143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APNP |
License Number: | 5119 |
Business Practice Address: | 1010 Executive Dr Suite 250 Westmont, IL - 605596135 |
Business Phone Number: | 6309202350 |
Business Fax Number: | 6303235610 |
Mailing Address: | 550 W Ogden Ave, HINSDALE |
State: | IL |
Postal Code: | 605213186 |
Phone Number: | 6303236116 |
Fax Number: | 6307948662 |
NPI Enumeration Date: | 10/28/2012 |
NPI Last Update Date: | 02/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 5119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |