Individual
REBEKAH S. SHEPHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 572-4780
(312) 572-4762
Mailing address
9953 GETTLER ST, DYER, IN 46311-7702
(219) 558-8639
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-002100
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
041-249007
IL
Other
Enumeration date
05/01/2007
Last updated
04/30/2021
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