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NPI Code Detail

MEDICARE: RACHEL N MINZNER M.A.F.P.

MEDICARE: RACHEL N MINZNER M.A.F.P.
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1548913726
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL N MINZNER M.A.F.P.
Provider Business Mailing Address
First Line : 441 E ERIE ST APT 3703
Second Line :
City : CHICAGO
State : IL
Zip : 60611-7136
Country : US
Telephone Number : 513-404-6590
Fax Number :
Provider Business Practice Location Address
First Line : 212 S MARION ST
Second Line :
City : OAK PARK
State : IL
Zip : 60302-3257
Country : US
Telephone Number : 550-731-2415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2022
Last Update Date : 01/28/2022

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