Individual
DR. REBECA CHAMORRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 N MICHIGAN AVE, #1022, CHICAGO, IL 60602-3402
(312) 553-4550
(312) 553-4723
Mailing address
30 N MICHIGAN AVE, #1022, CHICAGO, IL 60602-3402
(312) 553-4550
(312) 553-4723
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634607
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/09/2007
Last updated
07/08/2007
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