Provider Demographics
NPI:1396453056
Name:TROJAN, REBECCA ELISE (RN)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ELISE
Last Name:TROJAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5178
Mailing Address - Country:US
Mailing Address - Phone:630-936-4143
Mailing Address - Fax:
Practice Address - Street 1:1150 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5178
Practice Address - Country:US
Practice Address - Phone:630-936-4143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041311314163WI0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0600XNursing Service ProvidersRegistered NurseInfection Control