Individual
DR. REBECCA MERMELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6524 N WHIPPLE ST, CHICAGO, IL 60645-4113
(773) 973-5698
(773) 973-7101
Mailing address
6524 N WHIPPLE ST, CHICAGO, IL 60645-4113
(773) 973-5698
(773) 973-7101
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001673208
BLUE CROSS BLUE SHIELD IL
IL
01
—
117664270742
HUMANA
—
01
—
3336827
AETNA
—
01
—
6465283
UNITED HEALTH CARE
—
Enumeration date
11/06/2006
Last updated
07/08/2007
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