MEDICARE: RACHEL NEEMS PRITZKER 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	207N00000X	Dermatology Physician	251794	MA
2	207N00000X	Dermatology Physician	036.130059	IL

General Provider Information

NPI Number	:	1750542072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL NEEMS PRITZKER MD

Provider Business Mailing Address
First Line	:	515 N STATE ST STE 900
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-9104
Country	:	US
Telephone Number	:	312-245-9965
Fax Number	:	312-245-9964

Provider Business Practice Location Address
First Line	:	515 N STATE ST STE 900
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-9104
Country	:	US
Telephone Number	:	312-245-9965
Fax Number	:	312-245-9964

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

Provider Enumeration Date	:	06/19/2008
Last Update Date	:	03/07/2023

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Directions to “ RACHEL NEEMS PRITZKER MD” Practice Location

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