Individual
MS. RACHEL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2611 W CHICAGO AVE, CHICAGO, IL 60622-4519
(773) 969-5933
Mailing address
2611 W CHICAGO AVE, CHICAGO, IL 60622-4519
(773) 969-5933
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
041406530
IL
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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