Rebecca Illig

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2310 Leetonia Rd
Leetonia, OH 44431-9785

Phone

(330) 692-5947

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1013368075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 LEETONIA RD",
            "city": "LEETONIA",
            "state": "OH",
            "postal_code": "444319785",
            "telephone_number": "330-692-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 LEETONIA RD",
            "city": "LEETONIA",
            "state": "OH",
            "postal_code": "444319785",
            "telephone_number": "330-692-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLIG",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Earl
• Jenny R Fath
• Geona Guappone, APRN
• Hannah Louise Hazelet, MS, CCC-SLP
• Gregory Heaven, LPN
• JL Contracting & Remodeling
• Marybeth D. Shaffer D.M.D.
• Laurelynne Melendez, LPN
• Marybeth D Shaffer, D.M.D.
• Village of Leetonia

• All providers in Leetonia, OH
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.