Lara, Rebecca
Lara, Rebecca is an individual health care provider with primary practice located at 201 E Jefferson St , Joliet IL 60432-2841. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Lara, Rebecca can be contacted via phone (815) 774-1661.Contact Information
Primary practice address
201 E Jefferson St
Joliet IL 60432-2841
Phone: (815) 774-1661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | Illinois |
Profile Details
| NPI number | 1225500952 |
|---|---|
| LBN Legal business name | Lara, Rebecca |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2018 |
| Last updated | Dec 19th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225500952 | NPPES |
| Illinois | MEDICAID | 66416492 |
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