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NPI Code Detail

MEDICARE: REBECCA IRMEN LCPC

MEDICARE: REBECCA IRMEN LCPC
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 Counselor180010518IL

General Provider Information

NPI Number : 1851752679
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA IRMEN LCPC
Provider Business Mailing Address
First Line : 3325 N ARLINGTON HEIGHTS RD STE 400C
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1576
Country : US
Telephone Number : 847-525-7504
Fax Number :
Provider Business Practice Location Address
First Line : 3325 N ARLINGTON HEIGHTS RD STE 400C
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1576
Country : US
Telephone Number : 847-525-7504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2016
Last Update Date : 05/03/2023

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