Provider Demographics
NPI:1083276703
Name:PROKOPF, RACHEL H (DNP, APRN, AGNP-C)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:H
Last Name:PROKOPF
Suffix:
Gender:F
Credentials:DNP, APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7411 LAKE ST STE 1120
Mailing Address - Street 2:
Mailing Address - City:RIVER FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60305-1882
Mailing Address - Country:US
Mailing Address - Phone:708-345-3076
Mailing Address - Fax:708-345-9984
Practice Address - Street 1:7411 LAKE ST STE 1120
Practice Address - Street 2:
Practice Address - City:RIVER FOREST
Practice Address - State:IL
Practice Address - Zip Code:60305-1882
Practice Address - Country:US
Practice Address - Phone:708-345-3076
Practice Address - Fax:708-345-9984
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.019567363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty