Individual
RACHEL SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
680 N LAKE SHORE DR STE 1200, CHICAGO, IL 60611-8702
(312) 440-9400
(312) 440-0423
Mailing address
680 N LAKE SHORE DR STE 1200, CHICAGO, IL 60611-8702
(312) 440-9400
(312) 440-0423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009026
IL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/05/2020
Last updated
04/25/2024
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