Healthcare Provider Details

I. General information

NPI: 1114277688
Provider Name (Legal Business Name): RACHEL ZORGER DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2012
Last Update Date: 08/11/2023
Certification Date: 12/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 W BELMONT AVE
CHICAGO IL
60618-6421
US

IV. Provider business mailing address

225 S JEFFERSON ST
CHICAGO IL
60661-5607
US

V. Phone/Fax

Practice location:
  • Phone: 773-348-7500
  • Fax: 773-348-7500
Mailing address:
  • Phone: 312-612-5000
  • Fax: 312-612-5000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberLPR00116
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number016005760
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: