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NPI Code Detail

MEDICARE: REBECCA EBBEN-SHULTZ LCPC, ATR-BC

MEDICARE: REBECCA EBBEN-SHULTZ LCPC, ATR-BC
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
1101YP2500XProfessional Counselor180.014310IL

General Provider Information

NPI Number : 1790352888
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA EBBEN-SHULTZ LCPC, ATR-BC
Provider Business Mailing Address
First Line : 2650 W MONTROSE AVE STE 108
Second Line :
City : CHICAGO
State : IL
Zip : 60618-1562
Country : US
Telephone Number : 312-572-9632
Fax Number :
Provider Business Practice Location Address
First Line : 2650 W MONTROSE AVE STE 108
Second Line :
City : CHICAGO
State : IL
Zip : 60618-1562
Country : US
Telephone Number : 312-572-9632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2021
Last Update Date : 03/04/2026

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Directions to “ REBECCA EBBEN-SHULTZ LCPC, ATR-BC” Practice Location

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