Individual
RACHEL VORWALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 N HALSTED ST STE 403, CHICAGO, IL 60642-2607
(773) 880-5455
Mailing address
2506 N. CLARK STREET #222, CHICAGO, IL 60614
(773) 218-0511
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019032025
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2018
Last updated
07/22/2020
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