Healthcare Provider Details

I. General information

NPI: 1285594515
Provider Name (Legal Business Name): RACHEL KILLION
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: RACHEL LASKA

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE WI
53215-3669
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 414-384-5111
  • Fax: 414-384-5040
Mailing address:
  • Phone: 800-326-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number17657
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number17657-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: