MEDICARE: DR. REBECCA O'DONNELL M.D.

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	2084P0804X	Child & Adolescent Psychiatry Physician	036116467	IL

General Provider Information

NPI Number	:	1013173699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA O'DONNELL M.D.

Provider Business Mailing Address
First Line	:	1525 E 53RD ST STE 806
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-4572
Country	:	US
Telephone Number	:	773-974-1514
Fax Number	:

Provider Business Practice Location Address
First Line	:	1525 E 53RD ST STE 806
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-4572
Country	:	US
Telephone Number	:	773-974-1514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2008
Last Update Date	:	05/25/2023

Similar Medicare Providers

1093871246 — VEENA V ARUN MD
Practice Location Address:

1525 E 53RD ST STE 1002
CHICAGO, IL
60615-4572

Practice Phone: 773-288-2020
Practice Fax:

1013108224 — MS. EMMA B. COATE LCSW
Practice Location Address:

1525 E 53RD ST STE 933
CHICAGO, IL
60615-4572

Practice Phone: 773-219-0605
Practice Fax:

1871760116 — DR. ELIZABETH FAYE KIEFF M.D.
Practice Location Address:

1525 E 53RD ST STE 806
CHICAGO, IL
60615-4572

Practice Phone: 312-945-0650
Practice Fax:

1821389107 — HEIDI COLEMAN LCSW
Practice Location Address:

1525 E 53RD ST STE 806
CHICAGO, IL
60615-4572

Practice Phone: 312-351-9599
Practice Fax:

1205172681 — JESSICA L BLACK LCPC
Practice Location Address:

1525 E 53RD ST STE 901
CHICAGO, IL
60615-4572

Practice Phone: 773-234-1839
Practice Fax:

1477081230 — AMY J YANG M.D., LLC
Practice Location Address:

1525 E 53RD ST STE 933
CHICAGO, IL
60615-4572

Practice Phone: 773-217-9266
Practice Fax:

Directions to “ DR. REBECCA O'DONNELL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.