Rebekah Arletta Braslow, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-115227 Issued in IL

Practice address

7900 Rollins Rd Ste B1300
Gurnee, IL 60031-1512

Phone

(224) 251-2020

NPI assigned

Dec 13, 2006

Last updated

Mar 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/7P9JA4ZT
• Direct secure messaging: rbraslow245217@direct.northshore.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endeavor Health Medical Group

  dba NorthShore University HealthSystem Faculty Practice Associates

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882

  Ophthalmology

  NPD (past)
• Ophthalmology West, Inc.

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1528180429
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1174684021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 12123",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 ROLLINS RD STE B1300",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311512",
            "telephone_number": "224-251-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASLOW",
        "first_name": "REBEKAH",
        "middle_name": "ARLETTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-115227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbraslow245217@direct.northshore.org",
            "affiliation": "N",
            "address_1": "7900 Rollins Rd Ste B1300",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600311512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ruth Ellen Boyer, RPH
• Bradley C. Rule, DDS, P.C.
• Ryan Bradley, PSYD
• Nicole Brandonisio
• Annette J Brandt, CRC, LPC
• Breath of Life Christian Counseling LLC
• Bright Horizons Pediatrics
• Brightstar Healthcare
• Brightstar Healthcare
• Wendy M Broekema, MS, RDN

• Ophthalmology Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.