Individual provider Active NPI

Barbara C. Rezabek, M.A.

  • Audiologist
  • Northbrook, IL
National Provider Identifier
1861791220
Registry record updated Mar 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147-000034 Issued in IL
Practice address
2118 Illinois Rd
Northbrook, IL 60062-5235
Phone
(847) 903-3723
NPI assigned
Mar 23, 2011
Last updated
Mar 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147-000034 IL Primary

Addresses

Primary practice location

2118 Illinois Rd
Northbrook, IL 60062-5235

Mailing address

2118 Illinois Rd
Northbrook, IL 60062-5235
Phone (847) 903-3723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
147-000034ILMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301097600000",
    "number": "1861791220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 ILLINOIS RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625235",
            "telephone_number": "847-903-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 ILLINOIS RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625235",
            "telephone_number": "847-903-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZABEK",
        "first_name": "BARBARA",
        "middle_name": "C.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2011; 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.