Healthcare Provider Details

I. General information

NPI: 1326957580
Provider Name (Legal Business Name): RACHEL SWALE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 GREENWOOD AVE
BLUE ISLAND IL
60406-1558
US

IV. Provider business mailing address

9404 DEWEY PL
CROWN POINT IN
46307-7460
US

V. Phone/Fax

Practice location:
  • Phone: 708-385-6800
  • Fax:
Mailing address:
  • Phone: 815-922-7076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: