Gold, Rachelle
Gold, Rachelle is an sole proprietor health care provider with primary practice located at 7101 N. Cicero Ave. Suite 203, Lincolnwood IL 60712-2112. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Gold, Rachelle can be contacted via phone (773) 991-7224.Contact Information
Primary practice address
7101 N. Cicero Ave. Suite 203
Lincolnwood IL 60712-2112
Phone: (773) 991-7224
Fax: (773) 338-6976
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071006126 | Illinois |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 071006126 | Illinois |
Profile Details
NPI number | 1164539326 |
---|---|
LBN Legal business name | Gold, Rachelle |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 24th, 2006 |
Last updated | Jan 12th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164539326 | NPPES |
Illinois | Other | 1632418 | BLUE CROSS BLUE SHIELD |
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