Miller, Rachael L

Miller, Rachael L is an sole proprietor health care provider with primary practice located at 2950 W Chicago Ave Ste 202 , Chicago IL 60622-4377. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Miller, Rachael L can be contacted via phone (312) 709-0390.

Contact Information

Primary practice address
2950 W Chicago Ave Ste 202 Chicago IL 60622-4377
Phone: (312) 709-0390
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C0900165 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X 180008926 Illinois
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 180008926 Illinois

Profile Details

NPI number 1982933669
LBN Legal business name Miller, Rachael L
Credentials LCPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2009
Last updated Jan 15th, 2014 - about 11 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 1982933669 NPPES
Ohio MEDICAID 341458441

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