Rhebergen, Katie

Rhebergen, Katie is an sole proprietor health care provider with primary practice located at 1617 Boeger Ave , Westchester IL 60154-4101. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Rhebergen, Katie can be contacted via phone (708) 927-6815.

Contact Information

Primary practice address
1617 Boeger Ave Westchester IL 60154-4101
Phone: (708) 927-6815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Illinois

Profile Details

NPI number 1396202883
LBN Legal business name Rhebergen, Katie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2019
Last updated Feb 21st, 2019 - about 5 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 1396202883 NPPES
Illinois MEDICAID 103092

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