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General NPI Number Information
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NPI Number | 1447828389
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Entity Type | Individual
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Provider Name | STEPHANIE REHOR LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 116 S YORK ST STE 201
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City | ELMHURST
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State | IL
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Zip | 60126-3432
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Country | US
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Telephone | 708-697-8009
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Fax |
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Provider Business Mailing Address
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Address Line | 119 S WESTERN AVE UNIT 1
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City | CHICAGO
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State | IL
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Zip | 60612-4644
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.026651
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34012252A
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License Number State | IN
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