Provider Demographics
NPI:1083054621
Name:SCHNELL, REBECCA (MS)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:SCHNELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6124 N SAINT LOUIS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-2228
Mailing Address - Country:US
Mailing Address - Phone:773-329-5970
Mailing Address - Fax:732-905-9196
Practice Address - Street 1:6124 N SAINT LOUIS AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659
Practice Address - Country:US
Practice Address - Phone:773-329-5970
Practice Address - Fax:732-905-9196
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.014572235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist