Healthcare Provider Details

I. General information

NPI: 1487165361
Provider Name (Legal Business Name): REBECCA PEARSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 PIN OAK CT
WHEATON IL
60189-3324
US

IV. Provider business mailing address

1311 PIN OAK CT
WHEATON IL
60189-3324
US

V. Phone/Fax

Practice location:
  • Phone: 815-600-3281
  • Fax:
Mailing address:
  • Phone: 815-600-3281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: