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NPI Code Detail

MEDICARE: RACHEL HANSEN

MEDICARE: RACHEL HANSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1114873551
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL HANSEN
Provider Business Mailing Address
First Line : 537 FERDINAND AVE
Second Line :
City : FOREST PARK
State : IL
Zip : 60130-1803
Country : US
Telephone Number : 847-970-1449
Fax Number :
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 888-584-7888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ RACHEL HANSEN ” Practice Location

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