Provider Demographics
NPI:1447431259
Name:RHEINHEIMER, JOYCE B (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:B
Last Name:RHEINHEIMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15510 CICERO AVE
Mailing Address - Street 2:STE. 110
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-3618
Mailing Address - Country:US
Mailing Address - Phone:708-687-5538
Mailing Address - Fax:708-687-5539
Practice Address - Street 1:15510 CICERO AVE
Practice Address - Street 2:STE. 110
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-3618
Practice Address - Country:US
Practice Address - Phone:708-687-5538
Practice Address - Fax:708-687-5539
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212014Medicare PIN