SearchIllinois224Z00000X

Rachelle Wise

NPI 1861906141 · on the registry since 2017 · sole proprietor

Practice

Address
525 E 162nd St
South Holland, IL 60473
Phone
(219) 210-1584
Clinicians at this address
2

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois