Individual
RACHEL MEDERNACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-9877
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125069296
IL
207RI0200X
Infectious Disease Physician
Primary
036152465
IL
208000000X
Pediatrics Physician
125069296
IL
Other
Enumeration date
06/14/2016
Last updated
06/23/2020
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