MEDICARE: RACHEL NEAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	125070702	IL
2	207V00000X	Obstetrics & Gynecology Physician	036154225	IL
3	207VC0300X	Complex Family Planning Physician	036154225	IL

General Provider Information

NPI Number	:	1194253831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL NEAL MD

Provider Business Mailing Address
First Line	:	180 HARVESTER DR STE 110
Second Line	:
City	:	BURR RIDGE
State	:	IL
Zip	:	60527-6686
Country	:	US
Telephone Number	:	773-702-1150
Fax Number	:

Provider Business Practice Location Address
First Line	:	5140 N CALIFORNIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3645
Country	:	US
Telephone Number	:	773-878-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2017
Last Update Date	:	06/08/2023

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Directions to “ RACHEL NEAL MD” Practice Location

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