Individual
ELLEN RAKHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6201 W TOUHY AVE, CHICAGO, IL 60646-1100
(847) 673-5166
(847) 673-5636
Mailing address
6201 W TOUHY AVE, CHICAGO, IL 60646-1100
(847) 673-5166
(847) 673-5636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041.395021
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.395021
LICENSE
IL
Enumeration date
12/18/2019
Last updated
12/18/2019
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