| Rebecca J Andersen, MD | |
|
4201 W Medical Center Dr, Mchenry, IL 60050 | |
| (815) 759-3100 | |
| Not Available |
| Full Name | Rebecca J Andersen |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 4201 W Medical Center Dr, Mchenry, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699848705 | NPI | - | NPPES |
| 036118364 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 242008 (New York) | Secondary |
| 207P00000X | Emergency Medicine | 036118364 (Illinois) | Primary |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca J Andersen, MD 4201 W Medical Center Dr, Mchenry, IL 60050-8409 Ph: (815) 759-3100 | Rebecca J Andersen, MD 4201 W Medical Center Dr, Mchenry, IL 60050 Ph: (815) 759-3100 |
Dr. Robert W Schwaner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3922 Mercy Dr, Mchenry, IL 60050 Phone: 815-344-4499 | |
Katherine Jean Savage, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-3100 Fax: 815-363-9094 | |
Dr. Leonard Levites, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-338-6600 | |
John Pacini, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-3100 Fax: 815-363-9044 | |
Neda Imam, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-4323 Fax: 815-759-4948 | |
Troy B Shaffer, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-338-6600 | |
Dr. Luciano Orta Iii, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-3100 Fax: 815-363-9094 |