Individual
MS. REBECCA WIESENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LSW
Contact information
Practice address
2700 W BIRCHWOOD AVE, CHICAGO, IL 60645-1302
(872) 216-1156
Mailing address
3926 W TOUHY AVE STE 277, LINCOLNWOOD, IL 60712-1028
(872) 216-1156
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150114229
IL
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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