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Individual

RACHEL BASKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
546 KEYSTONE AVE, RIVER FOREST, IL 60305-1612

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-139936
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036-139936
STATE LICENSE
IL
Enumeration date
03/19/2012
Last updated
02/28/2017
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