Doctor Name: | RACHEL MURDOCK |
NPI Number: | 1003283755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 209.013142 |
Business Practice Address: | 11200 Lincoln Hwy Mokena, IL - 604488208 |
Business Phone Number: | 8663892727 |
Business Fax Number: | |
Mailing Address: | 14604 S Arboretum Dr, HOMER GLEN |
State: | IL |
Postal Code: | 604919330 |
Phone Number: | 7087454288 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2015 |
NPI Last Update Date: | 08/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209.013142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |