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NPI Code Detail

MEDICARE: SPENCER RYBACKI

MEDICARE: SPENCER RYBACKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor178.022607IL

General Provider Information

NPI Number : 1114882677
Entity Type Code : Individual
Provider Name (Legal Business Name) : SPENCER RYBACKI
Provider Business Mailing Address
First Line : 1142 W MADISON ST STE 302
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2191
Country : US
Telephone Number : 312-324-4502
Fax Number :
Provider Business Practice Location Address
First Line : 2043 W BELMONT AVE STE 1
Second Line :
City : CHICAGO
State : IL
Zip : 60618-6796
Country : US
Telephone Number : 312-324-4502
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ SPENCER RYBACKI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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