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General NPI Number Information
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NPI Number | 1043156698
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Entity Type | Individual
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Provider Name | DR. RACHEL ISABEL TEITELBAUM
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Gender | Female
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 1108 E OGDEN AVE
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City | NAPERVILLE
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State | IL
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Zip | 60563-8560
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Country | US
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Telephone | 630-778-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 123 S GREEN ST APT 408B
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City | CHICAGO
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State | IL
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Zip | 60607-3494
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 019.036970
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License Number State | IL
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