| Doctor Name: | RACHELLE GOLD |
| NPI Number: | 1164539326 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 071006126 |
| Business Practice Address: | 7101 N. Cicero Ave. Suite 203 Lincolnwood, IL - 607122112 |
| Business Phone Number: | 7739917224 |
| Business Fax Number: | 7733386976 |
| Mailing Address: | 4801 W Peterson Ave, Ste. 612 CHICAGO |
| State: | IL |
| Postal Code: | 606465713 |
| Phone Number: | 7733386976 |
| Fax Number: | 7733386976 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 01/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071006126 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |