Provider Demographics
NPI:1164868527
Name:HOESLI, REBECCA C (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:C
Last Name:HOESLI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3010 HIGHLAND PKWY STE 550
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-5500
Mailing Address - Country:US
Mailing Address - Phone:630-724-1100
Mailing Address - Fax:630-724-0084
Practice Address - Street 1:3010 HIGHLAND PKWY STE 250
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-5545
Practice Address - Country:US
Practice Address - Phone:630-724-1100
Practice Address - Fax:630-724-0084
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-13
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036148330207Y00000X
MI4301102523390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology