IndividualActive
Rebecca Larson, MD
NPI 1063674588 · MOHS-Micrographic Surgery Physician · Springfield, IL
Provider details
- NPI number
- 1063674588
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036-132957 (IL)
Practice location
751 N Rutledge St
Suite 2300
Springfield, IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-4485
Mailing address
Po Box 19644
Springfield, IL 62794-9644
Registry dates
- Enumerated
- 2008-06-26
- Last updated
- 2020-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.