Individual provider · Type 1 NPI
Jacob Brad Rabe, MD
Emergency Medical Services (Emergency Medicine) Physician · Peoria, IL
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
504 W Melbourne Ave
Peoria, IL 61604-2844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | MD60455396 (WA) |
| Emergency Medicine Physician | 207P00000X | 125.059410 (IL) |
Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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About NPI 1295029148
Jacob Brad Rabe, MD's National Provider Identifier is 1295029148, issued on Jun 7, 2011. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Peoria, IL. The record was last updated on Oct 25, 2019.