Healthcare Provider Details

I. General information

NPI: 1982153995
Provider Name (Legal Business Name): RACHEL ELIZABETH STEELE NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2016
Last Update Date: 12/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 S HIGHLAND AVE
LOMBARD IL
60148-4932
US

IV. Provider business mailing address

1860 PAYSHERE CIRCLE
CHICAGO IL
60674-0001
US

V. Phone/Fax

Practice location:
  • Phone: 630-627-4722
  • Fax: 630-627-9134
Mailing address:
  • Phone: 630-545-6016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209015928
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209015928
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-140763
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: