MEDICARE: MEADOWS AND WILLOW THERAPY LLC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1548128432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEADOWS AND WILLOW THERAPY LLC

Provider Business Mailing Address
First Line	:	119 S WESTERN AVE UNIT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4644
Country	:	US
Telephone Number	:	630-509-8832
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 S YORK ST STE 201
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-3432
Country	:	US
Telephone Number	:	708-697-8009
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PSYCHOTHERAPIST
Name	:	STEPHANIE REHOR
Credential	:	LCSW
Telephone Number	:	630-509-8832

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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