Provider Demographics
NPI:1790487585
Name:CHEBII, RAEL J (APRN)
Entity Type:Individual
Prefix:
First Name:RAEL
Middle Name:J
Last Name:CHEBII
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2706 MISTY BROOK LN
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60432-0749
Mailing Address - Country:US
Mailing Address - Phone:815-603-7587
Mailing Address - Fax:
Practice Address - Street 1:350 N. WALL STREET
Practice Address - Street 2:SENIOR BEHAVIORAL UNIT
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901
Practice Address - Country:US
Practice Address - Phone:915-932-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.026847363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health