Individual
MISS RACHEL THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 EAST CHICAGO AVENUE, CHICAGO, IL 60611
(312) 227-4000
Mailing address
6399 VINEYARD AVE, ANN ARBOR, MI 48108
(734) 649-0782
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041545676
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209027655
IL
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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