| Rebecca Israilevich Llc | |
|
4429 N Winchester Ave Apt 2b Chicago IL 60640-5847 | |
| (847) 224-3880 | |
| Not Available |
| Full Name | Rebecca Israilevich Llc |
|---|---|
| Speciality | Counselor |
| Location | 4429 N Winchester Ave Apt 2b, Chicago, Illinois |
| Authorized Official Name and Position | Rebecca Israilevich (OWNER) |
| Authorized Official Contact | 8472243880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Israilevich Llc 4429 N Winchester Ave Apt 2b Chicago IL 60640-5847 Ph: (847) 224-3880 | Rebecca Israilevich Llc 4429 N Winchester Ave Apt 2b Chicago IL 60640-5847 Ph: (847) 224-3880 |
| NPI Number | 1497344345 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Medicare PECOS PAC ID | 8628415957 |
|---|---|
| Medicare Enrollment ID | O20240322001334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497344345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Rebecca Israilevich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316483662 PECOS PAC ID: 0446697775 Enrollment ID: I20240322001435 |
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