Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 209.013142 | IL |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 277.00097 | IL |
NPI | 1003283755 |
---|---|
Provider Name | Rachel Hesse |
First Address | Homer Glen, IL 60491-9330 |
Second Address | Orland Park, IL 60462-2023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2015 |
Last Update Date | 10/12/2020 |