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NPI Code Detail

MEDICARE: RACHEL SMALL APRN

MEDICARE: RACHEL SMALL APRN
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
1363LW0102XWomen's Health Nurse Practitioner209029094IL

General Provider Information

NPI Number : 1306617501
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL SMALL APRN
Provider Business Mailing Address
First Line : 1625 N CLAREMONT AVE APT 1F
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5267
Country : US
Telephone Number : 847-997-5323
Fax Number :
Provider Business Practice Location Address
First Line : 30 N MICHIGAN AVE STE 300
Second Line :
City : CHICAGO
State : IL
Zip : 60602-4495
Country : US
Telephone Number : 312-726-3917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2024
Last Update Date : 01/16/2024

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Directions to “ RACHEL SMALL APRN” Practice Location

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