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
Fax: (773) 338-6976
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164539326 NPPES
Illinois Other 1632418 BLUE CROSS BLUE SHIELD

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