MS. EMILY REBEKAH CORLEY B.A. M.S. NPI 1265836282

NPI Information

NPI: 1265836282
Provider Name: MS. EMILY REBEKAH CORLEY, B.A., M.S.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Organization: OU HEALTH PARTNERS INC

PECOS Registration: Yes

Address:
1460 N HALSTED ST
SUITE 504
CHICAGO, IL
ZIP 60642
Phone: (847) 686-0090
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MS. Emily Rebekah Corley, B.A., M.S. is a student in an organized health care education training program in Chicago, IL with 7 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MS. Emily Rebekah Corley, B.A., M.S. NPI is 1265836282. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

1460 N HALSTED ST
SUITE 504
CHICAGO, IL
ZIP 60642-605
Phone: (847) 686-0090
Fax: (847) 686-0090

The NPI 1265836282 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/20/2014 and was last updated on 11/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC2200X	Psychologist	Clinical Child & Adolescent			No
2	390200000X	Student in an Organized Health Care Education/Training Program			ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1265836282	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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