DR. REBECCA LIST MD NPI 1639153687

NPI Information

NPI: 1639153687
Provider Name: DR. REBECCA LIST, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1221 E STATE ST
UNIVERSITY FAMILY HEALTH CENTER
ROCKFORD, IL
ZIP 61104
Phone: (815) 972-1000
Get Directions

DR. Rebecca List, MD is a family medicine in Rockford, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Rebecca List, MD NPI is 1639153687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1221 E STATE ST
UNIVERSITY FAMILY HEALTH CENTER
ROCKFORD, IL
ZIP 61104-231
Phone: (815) 972-1000
Fax: (815) 972-1033

The enumeration date for this NPI number is 12/2/2005 and was last updated on 9/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine			ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H79382	MEDICARE UPIN	ILLINOIS
2	K06900	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	PROVIDER ID# FHC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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