MEDICARE: MR. ANDREW J REHS M.A., L.P.C, C.A.D.C

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	101YP2500X	Professional Counselor	178.009793	IL

General Provider Information

NPI Number	:	1063799195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANDREW J REHS M.A., L.P.C, C.A.D.C

Provider Business Mailing Address
First Line	:	1653 N DAMEN AVE
Second Line	:	APT. 2
City	:	CHICAGO
State	:	IL
Zip	:	60647-5507
Country	:	US
Telephone Number	:	330-472-0506
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 E WASHINGTON ST
Second Line	:	STE 1225
City	:	CHICAGO
State	:	IL
Zip	:	60602-1708
Country	:	US
Telephone Number	:	312-569-0285
Fax Number	:

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

Provider Enumeration Date	:	11/03/2011
Last Update Date	:	12/08/2014

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