Individual
RACHEL ROADRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
19627 S LA GRANGE RD, MOKENA, IL 60448-9360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041384661
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209016945
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033629308
—
IL
Enumeration date
10/02/2017
Last updated
04/09/2026
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