Individual
DR. RACHEL MAYORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
36106287
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106287
—
IL
01
—
208341
MEDICARE GROUP NUMBER
IL
01
—
208342
MEDICARE GROUP NUMBER
IL
01
—
P01804275
RAILROAD MEDICARE
CA
Enumeration date
05/10/2006
Last updated
10/28/2021
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