MEDICARE: RACHEL HOY

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	122300000X	Dentist	019.034612	IL

General Provider Information

NPI Number	:	1619612454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL HOY

Provider Business Mailing Address
First Line	:	720 N LARRABEE ST APT 1102
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-5070
Country	:	US
Telephone Number	:	847-609-5926
Fax Number	:

Provider Business Practice Location Address
First Line	:	5236 W BELMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-4209
Country	:	US
Telephone Number	:	773-557-7882
Fax Number	:

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

Provider Enumeration Date	:	05/04/2022
Last Update Date	:	09/22/2023

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Directions to “ RACHEL HOY ” Practice Location

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