Individual
DR. RACHEL W VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 E ONTARIO ST STE 200, CHICAGO, IL 60611-3284
(312) 694-7000
(312) 926-6274
Mailing address
211 E ONTARIO ST STE 200, CHICAGO, IL 60611-3284
(312) 694-7000
(312) 926-6274
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036161404
IL
207R00000X
Internal Medicine Physician
20897
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208974
—
SC
Enumeration date
03/28/2006
Last updated
10/21/2022
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