DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REBECCA F NISHIMOTO, PA-C

Active Sole Proprietor

REBECCA F NISHIMOTO, PA-C is a Physician Assistant healthcare provider located in HIGHLAND PARK, Illinois. NPI 1073624664 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · HIGHLAND PARK, IL

Registration Details

NPI Number
1073624664
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2006 (19.985939943549 yrs)
Last Updated
Nov 2, 2021
Licenses
085002085 (IL)
085002085 (IL)
Sole Proprietor
Yes

Practice Information

Address
777 PARK AVE W
HIGHLAND PARK, IL, 600352433
Browse IL providers · Browse ZIP 60035
Phone
8479265844
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in HIGHLAND PARK, IL

Name Credential NPI
MRS. SHARON DENISE FELLINGHAM PA-C 1811965973
MS. IRIS NUNAG PA-C 1114145786
KATHRYN HEGENER 1811246697
ALEXIS E HENION PA-C 1699219972
JESSICA MARIE ZINNEN PA-C 1578088852
ANDREA FONACIER 1255831426
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.