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Individual

DR. REBECCA MARIE KANINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
225 E CHICAGO AVE # 10, CHICAGO, IL 60611-2991
(312) 227-0768
(312) 227-9659
Mailing address
225 E CHICAGO AVE # 10, CHICAGO, IL 60611-2991
(312) 227-0768
(312) 227-9659

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071.010774
IL
103TC2200X
Clinical Child & Adolescent Psychologist
PS018504
PA
103TC2200X
Clinical Child & Adolescent Psychologist

Other

Enumeration date
05/01/2018
Last updated
02/07/2025
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