Rachel Dorsey
Individual provider Active NPI Contractor · Aurora, IL
NPI 1376994541 · NPPES record last updated Jun 28, 2016
Key facts
- NPI
- 1376994541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 2448 Georgetown Cir
Aurora, IL 60503-6718 - Phone
- (314) 330-9096
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
2448 Georgetown Cir
Aurora, IL 60503-6718
Mailing address
2448 Georgetown Cir
Aurora, IL 60503-6718
Phone (314) 330-9096
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.