Individual
RACHEL NICOLE HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 293-5486
(773) 989-1639
Mailing address
3611 W MONTROSE AVE UNIT 303, CHICAGO, IL 60618-1030
(920) 450-5903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041450662
IL
163W00000X
Registered Nurse
171244
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
209021413
IL
Other
Enumeration date
05/06/2020
Last updated
05/03/2022
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