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NPI Code Detail

MEDICARE: REBECCA KRAMER

MEDICARE:   REBECCA  KRAMER
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
1101YP2500XProfessional Counselor178.021530IL
2221700000XArt Therapist23-511IL

General Provider Information

NPI Number : 1699665877
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA KRAMER
Provider Business Mailing Address
First Line : 4925 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-2609
Country : US
Telephone Number : 773-784-3200
Fax Number :
Provider Business Practice Location Address
First Line : 4925 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-2609
Country : US
Telephone Number : 773-784-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2025
Last Update Date : 11/05/2025

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Directions to “ REBECCA KRAMER ” Practice Location

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