Provider Demographics
NPI:1801982327
Name:SALVANI, REBECCA C (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:C
Last Name:SALVANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1405 E 12TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MENDOTA
Mailing Address - State:IL
Mailing Address - Zip Code:61342-9010
Mailing Address - Country:US
Mailing Address - Phone:815-539-1710
Mailing Address - Fax:815-539-1711
Practice Address - Street 1:1405 E 12TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MENDOTA
Practice Address - State:IL
Practice Address - Zip Code:61342-9010
Practice Address - Country:US
Practice Address - Phone:815-539-1710
Practice Address - Fax:815-539-1711
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-072168207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology