NPI 1962929018 · live from the CMS NPI Registry
Affinity Integrated Healthcare
Family Medicine in Libertyville, IL. National Provider Identifier 1962929018, active.
NPI record
| NPI | 1962929018 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 736 Florsheim Dr, St 12, Libertyville, IL 60048 |
| Practice phone | 847-680-3900 |
| Enumerated | August 29, 2017 |
| Last updated | October 13, 2023 |
| Authorized official | Ronald Rebmann, President/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Rehabilitation | 111NR0400X | — |
| Physical Medicine & Rehabilitation | 208100000X | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.