Individual
RACHAEL DENISE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
205 RIVERS DR, LAKE BLUFF, IL 60044-1313
(240) 423-2146
Mailing address
205 RIVERS DR, LAKE BLUFF, IL 60044-1313
(240) 423-2146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041365336
IL
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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