Individual
REBECCA MACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5844 N HERMITAGE AVE APT B, 102A, CHICAGO, IL 60660-8901
(773) 495-6614
(206) 202-2205
Mailing address
5844 N HERMITAGE AVE, APT B, CHICAGO, IL 60660-3192
(773) 495-6614
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180008288
IL
103T00000X
Psychologist
Primary
071.009505
IL
Other
Enumeration date
10/13/2012
Last updated
03/15/2017
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