Hall, Rebecca L

Hall, Rebecca L is an individual health care provider with primary practice located at 14315 108Th Ave Ste 220, Orland Park IL 60467-5700. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Hall, Rebecca L can be contacted via phone (630) 779-8525.

Contact Information

Primary practice address
14315 108Th Ave Ste 220 Orland Park IL 60467-5700
Fax: (708) 403-6796
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 178002308 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071007445 Illinois

Profile Details

NPI number 1184734147
LBN Legal business name Hall, Rebecca L
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 8th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184734147 NPPES
Illinois Other 01623882 BCBS

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