Individual
DR. REBECCA WYNNE DENOSAQUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
545 LINCOLN AVE, SUITE 15, WINNETKA, IL 60093-2349
(847) 331-9156
Mailing address
902 N MOKI LN, MOUNT PROSPECT, IL 60056-1927
(847) 331-9156
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007453
IL
Other
Enumeration date
06/05/2008
Last updated
08/17/2015
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