Provider Demographics
NPI:1730364027
Name:REBECCA R. REINKE DBA REINKE PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:REBECCA R. REINKE DBA REINKE PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:REINKE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-709-9449
Mailing Address - Street 1:PO BOX 8211
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-8211
Mailing Address - Country:US
Mailing Address - Phone:630-709-9449
Mailing Address - Fax:630-736-2887
Practice Address - Street 1:800 W 5TH AVE
Practice Address - Street 2:SUITE 203 A/B
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8965
Practice Address - Country:US
Practice Address - Phone:630-709-9449
Practice Address - Fax:630-736-2887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty