Most Relevant Information
Provider Data
| NPI Number: | 1003075979 |
| Provider Name: | REBECCA WYNNE DENOSAQUO PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 071007453 |
Most Important Dates
| Enumeration Date: | 06/05/2008 |
| Last Updated: | 08/17/2015 |
Provider Practice Location
545 LINCOLN AVE
SUITE 15
WINNETKA
IL
600932349
Practice Location Phone/Fax
| Phone: | 8473319156 |
| Fax: |
Provider Mailing Location
902 N MOKI LN
MOUNT PROSPECT
IL
600561927
Provider Mailing Phone/Fax
| Phone: | 8473319156 |
| Fax: |