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NPI Code Detail

MEDICARE: EBBEN-SHULTZ PLLC

MEDICARE: EBBEN-SHULTZ PLLC
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 Counselor

General Provider Information

NPI Number : 1982555124
Entity Type Code : Organization
Provider Name (Legal Business Name) : EBBEN-SHULTZ PLLC
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 :
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 : OWNER
Name : REBECCA EBBEN-SHULTZ
Credential : LCPC, ATR-BC
Telephone Number : 312-572-9632
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “EBBEN-SHULTZ PLLC ” Practice Location

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