MEDICARE: REBECCA MARY POPE

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	106H00000X	Marriage & Family Therapist		IL

General Provider Information

NPI Number	:	1366371064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA MARY POPE

Provider Business Mailing Address
First Line	:	5315 N CLARK ST # 203
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2290
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5235 N CLARK ST FL 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2122
Country	:	US
Telephone Number	:	773-980-9257
Fax Number	:

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

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ REBECCA MARY POPE ” Practice Location

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