Individual
VAKISHA RACHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
8411 S ROCKWELL ST, CHICAGO, IL 60652-3921
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041364682
IL
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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