Individual
PRUDENCE REHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
854 TECHNOLOGY WAY, LIBERTYVILLE, IL 60048-5350
(847) 816-7200
(847) 816-7210
Mailing address
854 TECHNOLOGY WAY, LIBERTYVILLE, IL 60048-5350
(847) 816-7200
(847) 816-7210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12149402
IL
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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