Healthcare Provider Details

I. General information

NPI: 1952880957
Provider Name (Legal Business Name): DR. RACHEL ELIZABETH POLEDNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL ELIZABETH GAZDA

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7818 DODGE ST
OMAHA NE
68114-3412
US

IV. Provider business mailing address

2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US

V. Phone/Fax

Practice location:
  • Phone: 402-493-6808
  • Fax:
Mailing address:
  • Phone: 630-575-1980
  • Fax: 630-928-5080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1307451
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4150
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: