Provider Demographics
NPI:1689766909
Name:LOTSOFF, REBECCA ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANN
Last Name:LOTSOFF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1833 N BISSELL
Mailing Address - Street 2:2R
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-5012
Mailing Address - Country:US
Mailing Address - Phone:312-587-1787
Mailing Address - Fax:312-587-8401
Practice Address - Street 1:30 N MICHIGAN AVE
Practice Address - Street 2:SUITE 1126
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602
Practice Address - Country:US
Practice Address - Phone:312-587-8401
Practice Address - Fax:312-587-8401
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634195OtherBCBS
IL60054OtherAETNA