Healthcare Provider Details

I. General information

NPI: 1164711248
Provider Name (Legal Business Name): RACHEL JENNIFER KLEIN WRIGHT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 CENTRAL AVE STE 100
HIGHLAND PARK IL
60035-5642
US

IV. Provider business mailing address

799 CENTRAL AVE STE 100
HIGHLAND PARK IL
60035-5642
US

V. Phone/Fax

Practice location:
  • Phone: 847-861-0025
  • Fax: 847-861-0026
Mailing address:
  • Phone: 847-861-0025
  • Fax: 847-861-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036.181015
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD.38404
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number38404
License Number StateAL
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.38404
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: