| Doctor Name: | MRS. REBECCA ELIZABETH WERTH |
| NPI Number: | 1518202076 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 209010083 |
| Business Practice Address: | 43w526 Us Highway 30 Sugar Grove, IL - 605549511 |
| Business Phone Number: | 6304660800 |
| Business Fax Number: | 6304661336 |
| Mailing Address: | 1132 Hinswood Dr, 206 DARIEN |
| State: | IL |
| Postal Code: | 605616440 |
| Phone Number: | 6304171942 |
| Fax Number: | 6303959353 |
| NPI Enumeration Date: | 12/10/2012 |
| NPI Last Update Date: | 12/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209010083 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |