Active NPI
Laura J Rachwalski
- Nurse Practitioner
- Wheaton, IL
National Provider Identifier
1215321435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209011745
- Practice address
- 1751 S Naperville Rd
200
Wheaton, IL 60189-5896 - Phone
- (630) 682-9700
- Fax
- (630) 384-2240
- NPI assigned
- Mar 25, 2015
- Last updated
- Mar 25, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209011745 | IL | Primary |
Addresses
Primary practice location
1751 S Naperville Rd
200
Wheaton, IL 60189-5896
Mailing address
10709 S Palos Dr
Palos Hills, IL 60465-2226
Phone (630) 221-0200
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 |
|---|---|---|---|
| 209011745 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1215321435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10709 S PALOS DR",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604652226",
"telephone_number": "630-221-0200",
"fax_number": "630-384-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 S NAPERVILLE RD",
"address_2": "200",
"city": "WHEATON",
"state": "IL",
"postal_code": "601895896",
"telephone_number": "630-682-9700",
"fax_number": "630-384-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACHWALSKI",
"first_name": "LAURA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-25",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209011745",
"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 Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.