Individual
REBECCA WIESENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10024 SKOKIE BLVD STE 235, SKOKIE, IL 60077-9947
(224) 245-4024
Mailing address
2704 W LUNT AVE APT 203, CHICAGO, IL 60645-3045
(224) 245-4024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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