| Doctor Name: | MRS. REBECCA GAMBLE HOUGLUM |
| NPI Number: | 1245328582 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | |
| Business Practice Address: | 1170 E Belvidere Rd Ste 205 Grayslake, IL - 600302076 |
| Business Phone Number: | 8472232512 |
| Business Fax Number: | 8472236098 |
| Mailing Address: | 443 Capital Ln, GURNEE |
| State: | IL |
| Postal Code: | 600314496 |
| Phone Number: | 2629094904 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |