MEDICARE: RACHEL NAROFSKY RDN, LDN

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	133V00000X	Registered Dietitian	164.011538	IL

General Provider Information

NPI Number	:	1265245013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL NAROFSKY RDN, LDN

Provider Business Mailing Address
First Line	:	204 E PRAIRIE ST APT 7
Second Line	:
City	:	MARENGO
State	:	IL
Zip	:	60152-3107
Country	:	US
Telephone Number	:	847-772-2857
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 E PRAIRIE ST APT 7
Second Line	:
City	:	MARENGO
State	:	IL
Zip	:	60152-3107
Country	:	US
Telephone Number	:	847-772-2857
Fax Number	:

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

Provider Enumeration Date	:	01/27/2025
Last Update Date	:	01/27/2025

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