| Rebecca Denosaquo | |
|
545 Lincoln Ave Suite 15 Winnetka IL 60093-2349 | |
| (847) 275-3389 | |
| Not Available |
| Full Name | Rebecca Denosaquo |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 545 Lincoln Ave, Winnetka, Illinois |
| Authorized Official Name and Position | Rebecca Denosaquo (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8472753389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Denosaquo 902 N Moki Ln Mount Prospect IL 60056-1927 Ph: (847) 275-3389 | Rebecca Denosaquo 545 Lincoln Ave Suite 15 Winnetka IL 60093-2349 Ph: (847) 275-3389 |
| NPI Number | 1407226855 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 09/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407226855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.007453 (Illinois) | Primary |
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