MEDICARE: LISA VAIL-REBELSKY

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	106S00000X	Behavior Technician	RBT-24-334835	IL

General Provider Information

NPI Number	:	1598628125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA VAIL-REBELSKY

Provider Business Mailing Address
First Line	:	440 N BARRANCA AVE # 9605
Second Line	:
City	:	COVINA
State	:	CA
Zip	:	91723-1722
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 CHATHAM RD STE R
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62704-4188
Country	:	US
Telephone Number	:	415-322-8857
Fax Number	:

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

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/12/2025

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1750244489 — TRANSFORMATIVE REFLECTIONS PSYCHOLOGY, PLLC
Practice Location Address:

2501 CHATHAM RD
SPRINGFIELD, IL
62704-4188

Practice Phone: 312-809-8431
Practice Fax:

1437817756 — ADRIANA OLIVA ND
Practice Location Address:

2501 CHATHAM RD STE 4174
SPRINGFIELD, IL
62704-4188

Practice Phone: 954-825-8683
Practice Fax:

1063376671 — WONDIRFUL PLAY IL PLLC
Practice Location Address:

2501 CHATHAM RD STE R
SPRINGFIELD, IL
62704-4188

Practice Phone: 732-353-1414
Practice Fax:

1942164025 — RAVEN BEHAVIOR ANALYSIS, LLC
Practice Location Address:

2501 CHATHAM RD STE 5966
SPRINGFIELD, IL
62704-4188

Practice Phone: 786-848-8979
Practice Fax:

1639685134 — MS. LISA MARIE LORING FNP-C
Practice Location Address:

2501 CHATHAM RD STE N
SPRINGFIELD, IL
62704-4188

Practice Phone: 815-781-2608
Practice Fax: 815-604-8044

Directions to “ LISA VAIL-REBELSKY ” 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 © 2007-2025 (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.