Individual
RACHEL MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S 13TH ST STE 3, HERRIN, IL 62948-3666
(618) 988-6157
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026342
IL
Other
Enumeration date
11/09/2022
Last updated
03/01/2023
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