Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 036.117139 | IL |
N | 207PE0004X | Emergency Medical Services | E-4596 | AR |
NPI | 1104879071 |
---|---|
Provider Name | Dr. Rachel Hammel Mcdowell |
First Address | Northbrook, IL 60062-4943 |
Second Address | Rockford, IL 61108-2425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 28/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
158691001 | (05) | AR |
I47283 | (02) | AR |