Active NPI
Rebecca Hacker
- Developmental Therapist
- Burbank, IL
National Provider Identifier
1932564192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 2272083
- Practice address
- 8120 Mayfield Ave
Burbank, IL 60459-1963 - Phone
- (708) 309-6442
- NPI assigned
- Dec 15, 2015
- Last updated
- Dec 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 2272083 | IL | Primary |
Addresses
Primary practice location
8120 Mayfield Ave
Burbank, IL 60459-1963
Mailing address
8120 Mayfield Ave
Burbank, IL 60459-1963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2272083 | IL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1932564192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 MAYFIELD AVE",
"city": "BURBANK",
"state": "IL",
"postal_code": "604591963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 MAYFIELD AVE",
"city": "BURBANK",
"state": "IL",
"postal_code": "604591963",
"telephone_number": "708-309-6442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKER",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-15",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "2272083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, IL
- Guardian Angel Caregivers Inc
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- H&M Medical Services Inc (Medelite Medical Center and Urgent Care)
- H&M Medical Services Inc (H&M Radiology)
- H&M Medical Services Inc (H&M Medical Health and Wellness Clinic)
- Dana Hamayel
- Jeffrey Jojo Hanson, MD, PHARMD
- Kaitlin Marie Harrington, BCBA
- Chad Anthony Hartman, O.D.
- Kristin Hawkins, M.A. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.