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General NPI Number Information
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NPI Number | 1629267612
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Entity Type | Individual
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Provider Name | RAHEL JOHN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 3815 HIGHLAND AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1500
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Country | US
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Telephone | 813-476-3705
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Fax |
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Provider Business Mailing Address
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Address Line | 612 KEYSTONE AVE
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City | RIVER FOREST
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State | IL
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Zip | 60305-1614
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Country | US
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Telephone | 813-476-3705
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME106330
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 036.130376
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License Number State | IL
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