Provider Demographics
NPI:1588240667
Name:MENSCHING, REBECCA ANN (ATC, RN)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANN
Last Name:MENSCHING
Suffix:
Gender:F
Credentials:ATC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 CATAMARAN CIR
Mailing Address - Street 2:
Mailing Address - City:PINGREE GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60140-2009
Mailing Address - Country:US
Mailing Address - Phone:847-845-6884
Mailing Address - Fax:
Practice Address - Street 1:39 CATAMARAN CIR
Practice Address - Street 2:
Practice Address - City:PINGREE GROVE
Practice Address - State:IL
Practice Address - Zip Code:60140-2009
Practice Address - Country:US
Practice Address - Phone:847-845-6884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-20
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0960016862255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer