MEDICARE: RACHNA GULATI DO

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	036-160970	IL
2	207V00000X	Obstetrics & Gynecology Physician	94-09649	KS
3	207VC0300X	Complex Family Planning Physician	036.160970	IL

General Provider Information

NPI Number	:	1437644077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHNA GULATI DO

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 W BUTTERFIELD RD STE 250
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-5098
Country	:	US
Telephone Number	:	630-832-4210
Fax Number	:

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

Provider Enumeration Date	:	06/26/2018
Last Update Date	:	11/12/2024

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