Individual provider Active NPI

Rachel Lynn Kantola, DVM

  • Veterinarian
  • Aurora, IL
National Provider Identifier
1780086405
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
090.009818 Issued in IL
Practice address
2600 W Galena Blvd
Aurora, IL 60506-9013
Phone
(630) 896-8541
NPI assigned
Sep 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 090.009818 IL Primary
Veterinarian 174M00000X 04399 MN

Addresses

Primary practice location

2600 W Galena Blvd
Aurora, IL 60506-9013

Mailing address

2600 W Galena Blvd
Aurora, IL 60506-9013
Phone (630) 896-8541

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

LicenseStateTypeSpecialty
090.009818ILMDVeterinarian
04399MNMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1780086405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605069013",
            "telephone_number": "630-896-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605069013",
            "telephone_number": "630-896-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOLA",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "IL",
            "license": "090.009818",
            "primary": true
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "MN",
            "license": "04399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.