Active NPI
Rachael M Cole
- Dentist
- Wheaton, IL
National Provider Identifier
1174196810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.033275
- Practice address
- 1861 Creekside Dr
Wheaton, IL 60189-7223 - Phone
- (630) 653-3440
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.033275 | IL | Primary |
Addresses
Primary practice location
1861 Creekside Dr
Wheaton, IL 60189-7223
Mailing address
1861 Creekside Dr
Wheaton, IL 60189-7223
Phone (630) 653-2883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.033275 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Anesthesiologists Chicago LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Rosemont, IL
- NPI 1396887774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1174196810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1861 CREEKSIDE DR",
"city": "WHEATON",
"state": "IL",
"postal_code": "601897223",
"telephone_number": "630-653-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1861 CREEKSIDE DR",
"city": "WHEATON",
"state": "IL",
"postal_code": "601897223",
"telephone_number": "630-653-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "RACHAEL",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.033275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.