Individual
MS. REBECCA C PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-1915
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-000175
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277001718
IL
Other
Enumeration date
08/31/2007
Last updated
06/08/2023
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