MEDICARE: RACHEL BETHANY MANSFIELD

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
1	235Z00000X	Speech-Language Pathologist	146.017972	IL
2	235Z00000X	Speech-Language Pathologist	9602	SC

General Provider Information

NPI Number	:	1134009962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL BETHANY MANSFIELD

Provider Business Mailing Address
First Line	:	222 E PEARSON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-7347
Country	:	US
Telephone Number	:	919-886-2338
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 E PEARSON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-7347
Country	:	US
Telephone Number	:	919-886-2338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	05/21/2026

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Directions to “ RACHEL BETHANY MANSFIELD ” Practice Location

Language	Start Address	Practice Location

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