| Doctor Name: | REBECCA A RZEGOCKI |
| NPI Number: | 1619378783 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 180.009190 |
| Business Practice Address: | 525 E North St Suite B Bradley, IL - 609151185 |
| Business Phone Number: | 8159330667 |
| Business Fax Number: | |
| Mailing Address: | 1146 N 5000w Rd, KANKAKEE |
| State: | IL |
| Postal Code: | 609017713 |
| Phone Number: | 6307238650 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2014 |
| NPI Last Update Date: | 09/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 180.009190 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |