Healthcare Provider Details

I. General information

NPI: 1487825618
Provider Name (Legal Business Name): RACHEL ELANA NORRIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2008
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 W GRAND AVE
CHICAGO IL
60654
US

IV. Provider business mailing address

708 W GRAND AVE
CHICAGO IL
60654-5508
US

V. Phone/Fax

Practice location:
  • Phone: 312-300-2190
  • Fax:
Mailing address:
  • Phone: 312-300-2190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036120530
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number036120530
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: