Rachel Itano, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227.010063 Issued in IL

Practice address

1117 Emerson St
Evanston, IL 60201-3131

Phone

(847) 869-1773

Fax

(847) 869-2733

NPI assigned

Feb 14, 2012

Last updated

Feb 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness Revolution Chiropractic & Acupuncture Center

  • Chiropractor
  • Evanston, IL
  • NPI 1710035183
  NPD (past)
• Wellness Revolution Lakeview LLC

  dba The Wellness Revolution Chiropractic and Acupuncture Center

  • Chiropractor
  • Chicago, IL
  • NPI 1063920916
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1720351257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 DEERFIELD PKWY",
            "address_2": "304",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894588",
            "telephone_number": "630-561-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 EMERSON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013131",
            "telephone_number": "847-869-1773",
            "fax_number": "847-869-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITANO",
        "first_name": "RACHEL",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.010063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isd Renal Inc (Evanston Renal Center)
• Chana Ariel Isenberg, MS,OTR/L
• Abdulkadir Isidan, MD
• Irina Ismailova, APRN, AG-ACNP
• John Issa, MD
• Mirka Ivanovic, PSYD
• Amanda Ives, LCSW
• Brittany Stewart Iwanski, MOT, OTR/L
• J.Wall Counseling Services
• Bridgette Jackson

• Massage Therapist in Evanston, IL
• Providers in Evanston, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.