DR. PAMELA REZEK (NPI# 1902277007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902277007 |
Entity Type | Individual |
Full Name | DR. PAMELA REZEK |
Credential | PH.D. |
Practice Address |
630 Vernon Ave Ste G Glencoe IL 60022-1689 |
Practice Telephone | 8476301052 |
Mailing Telephone | 8476301052 |
Enumeration Date | 2015-10-14 |
Last Update Date | 2019-07-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
071005210 | IL | Behavioral Health & Social Service Providers |
Street Address |
630 VERNON AVE STE G |
City | GLENCOE |
State | IL |
Zip Code | 60022-1689 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528406188 | Lauren J Schneider | Chiropractor | 378 Park Avenue, Suite 1d, Glencoe, IL 60022 | 2013-06-05 |
1356689897 | Christopher L. Johnston | Counselor | 706 Green Bay Road, Suite 3, Glencoe, IL 60022 | 2013-01-17 |
1447533039 | Inna Serman | Pharmacist | 63 N Greenbay Rd, Glenco, IL 60022 | 2011-09-21 |
1023263084 | Jacqueline Kessler-santiccioli | Speech-Language Pathologist | 725 Apple Tree Lane, Glencoe, IL 60022 | 2008-11-18 |
1639385628 | Michael P Bobrow | Dentist | 630 Vernon Ave, Suite C Lakeshore Dental Inc, Glencoe, IL 60022 | 2007-05-15 |
1073738423 | Meg Racenstein | Clinical Neuropsychologist | 630 N. Vernon Ave., Suite G, Glencoe, IL 60022 | 2007-04-13 |
1073650479 | Jerome Meyer Grunes | Psychiatry & Neurology | 110 Dell Place, Glencoe, IL 60022 | 2007-02-01 |
1457428740 | Anne Rousseau Douglas | Marriage & Family Therapist | 190 Maple Hill Road, Glencoe, IL 60022 | 2006-11-29 |
1194891952 | Shona Angle | Social Worker | 755 Greenwood Avenue, Glencoe, IL 60022 | 2006-11-25 |
1407932379 | Brooke Kayman Fox | Social Worker | 850 North Milwaukee Avenue, Suite 209, Vernon Hills, IL 60022 | 2006-10-31 |
Find all providers in zip 60022 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598294407 | Sarah Gebhardt | Psychologist | 378 Park Ave Ste 1d, Glencoe, IL 60022-2700 | 2017-06-06 |
1912251901 | Kathi Marks | Psychologist | 466 Madison Ave, Glencoe, IL 60022-1857 | 2012-10-30 |
1407095466 | Michael S Black Ph D and Park Psychological Services Ltd | Psychologist | 473 Park Ave, Glencoe, IL 60022-1549 | 2009-02-16 |
1952510083 | Ida Anne Cardone | Psychologist | 555 Park Ave, Glencoe, IL 60022-1501 | 2007-05-22 |
1982751947 | Jane J. Kokesh | Psychologist | 925 12th St E Ste 101, Glencoe, MN 55336-2315 | 2007-01-04 |
1528154317 | Emily Turner Knight | Psychologist | 773 Greenwood Ave, Glencoe, IL 60022-1514 | 2006-10-05 |
1346211570 | Neurine Elaine Wiggin | Psychologist | 673 Bluff St, Glencoe, IL 60022-1656 | 2006-01-27 |
1346625472 | Miriam Fishman, Psy.d., LLC | Psychologist | 630 Vernon Ave, Suite G, Glencoe, IL 60022-1681 | 2015-07-30 |
1194160333 | Jennifer Swensen | Psychologist | 630 Vernon Ave, #14, Glencoe, IL 60022 | 2013-05-01 |
1043597586 | Victoria Lasser | Psychologist | 545 Park Ave, Glencoe, IL 60022-1501 | 2011-11-11 |
Find all providers in GLENCOE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.