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Individual

DR. REBECCA L HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
14315 108TH AVE, STE 220, ORLAND PARK, IL 60467-5700
(630) 779-8525
(708) 403-6796
Mailing address
14315 108TH AVE, SUITE 220, ORLAND PARK, IL 60467-5700
(708) 669-3311

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
178002308
IL
103T00000X
Psychologist
Primary
071007445
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01623882
BCBS
IL
Enumeration date
08/30/2006
Last updated
08/08/2013
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