Birk, Rebecca L

Birk, Rebecca L is an individual health care provider with primary practice located at 1770 E Lake Shore Dr #208, Decatur IL 62521. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Birk, Rebecca L can be contacted via phone (217) 428-1900.

Contact Information

Primary practice address
1770 E Lake Shore Dr #208 Decatur IL 62521
Phone: (217) 428-1900
Fax: (217) 428-0358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1235284464
LBN Legal business name Birk, Rebecca L
Credentials MA LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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