RACHEL MEDEMA NPI 1720614407

NPI Information

NPI: 1720614407
Provider Name: RACHEL MEDEMA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1901 N CLYBOURN AVE STE 304
CHICAGO, IL
ZIP 60614
Phone: (773) 697-8839
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Rachel Medema is a professional counselor in Chicago, IL. Rachel Medema NPI is 1720614407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1901 N CLYBOURN AVE STE 304
CHICAGO, IL
ZIP 60614-808
Phone: (773) 697-8839

The enumeration date for this NPI number is 3/13/2020 and was last updated on 3/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	178.013414	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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