Rachel Spncer Greer

Individual provider Active NPI Registered Nurse · Gillespie, IL

NPI 1497320212 · NPPES record last updated May 24, 2021

Key facts

NPI
1497320212
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
041269013 (IL)
Practice address
411 Dianna Dr
Gillespie, IL 62033-1954
Phone
(815) 703-6109
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
041269013ILMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163W00000X 041269013 IL Yes

Addresses

Primary practice location

411 Dianna Dr
Gillespie, IL 62033-1954

Mailing address

411 Dianna Dr
Gillespie, IL 62033-1954
Phone (815) 703-6109

Other names

  • Rachel Morden Former name

Other providers in Gillespie, IL

All providers in Gillespie, IL · Registered Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.