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NPI Code Detail

MEDICARE: MS. RHONDA ESSL

MEDICARE:  MS. RHONDA  ESSL
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1891054698
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RHONDA ESSL
Provider Business Mailing Address
First Line : 2960 CHARTRES ST
Second Line : P.O. BOX 1488
City : LA SALLE
State : IL
Zip : 61301-1097
Country : US
Telephone Number : 815-224-1610
Fax Number : 815-223-1634
Provider Business Practice Location Address
First Line : 17 NORTH POINT PLAZA
Second Line :
City : STREATOR
State : IL
Zip : 61364-1159
Country : US
Telephone Number : 815-673-3388
Fax Number : 815-673-1437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2012
Last Update Date : 05/14/2012

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