Provider Demographics
NPI:1154787182
Name:FEILER, REBECCA MARIE (MA)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:MARIE
Last Name:FEILER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 MICHIGAN AVE
Mailing Address - Street 2:2
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-4601
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:546 MICHIGAN AVE
Practice Address - Street 2:2
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-4601
Practice Address - Country:US
Practice Address - Phone:847-691-5676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-06
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0059751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical