Individual
DR. RACHEL EMILY IMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3024 E EMPIRE ST STE A, BLOOMINGTON, IL 61704-5402
(309) 556-7800
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R9801
IA
2084P0800X
Psychiatry Physician
Primary
036149302
IL
2084P0800X
Psychiatry Physician
MD 42894
IA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
36149302
IL
Other
Enumeration date
06/11/2013
Last updated
04/20/2023
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