Individual
REBECCA I NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2650 RIDGE AVE, EVANSTON HOSPTIAL, DEPARTMENT OF PEDIATRICS, EVANSTON, IL 60201-1718
(847) 570-2530
(847) 570-0231
Mailing address
2650 RIDGE AVE, EVANSTON HOSPTIAL, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071006611
IL
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
071006611
IL
Other
Enumeration date
12/08/2006
Last updated
03/19/2026
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