Healthcare Provider Details

I. General information

NPI: 1780510016
Provider Name (Legal Business Name): REBECCA YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 E OGDEN AVE
HINSDALE IL
60521-3590
US

IV. Provider business mailing address

233 E ERIE ST STE 802
CHICAGO IL
60611-2906
US

V. Phone/Fax

Practice location:
  • Phone: 312-893-5701
  • Fax: 312-268-5085
Mailing address:
  • Phone: 312-893-5701
  • Fax: 312-268-5085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209035346
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: