Provider Demographics
NPI:1699404178
Name:RABBITTE, MEGAN A
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:A
Last Name:RABBITTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9525 S SAWYER AVE
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-2343
Mailing Address - Country:US
Mailing Address - Phone:708-541-9095
Mailing Address - Fax:
Practice Address - Street 1:9525 S SAWYER AVE
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2343
Practice Address - Country:US
Practice Address - Phone:708-541-9095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst