Individual
RACHEL LEAH BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
225 N MILWAUKEE AVE, VERNON HILLS, IL 60061-4304
(847) 941-7600
(847) 941-7697
Mailing address
2740 W FOSTER AVE, LL7, CHICAGO, IL 60625-3500
(773) 878-8200
(773) 293-4197
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209002184
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041257545
RN STATE LICENSE
IL
05
—
0412577545
—
IL
01
—
209002184
APN STATE LICENSE
IL
01
—
406120023
PTAN
—
Enumeration date
04/18/2007
Last updated
04/22/2024
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