Individual
DR. RACHEL PAIGE TINDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
747 N RUTLEDGE ST FL 2, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-7795
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(217) 545-2101
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
036.166054
IL
208600000X
Surgery Physician
036.166054
IL
208600000X
Surgery Physician
MD452820
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036166054
—
IL
01
—
13872005
CAQH
—
Enumeration date
12/24/2011
Last updated
01/29/2024
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