Individual
REBECCA EMILY VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCGC
Contact information
Practice address
25 N WINFIELD RD STE 500, WINFIELD, IL 60190-1379
(630) 933-6249
Mailing address
25 N WINFIELD RD STE 419, WINFIELD, IL 60190-1379
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
246.000341
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
N/A
—
Enumeration date
06/22/2022
Last updated
06/22/2022
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