Provider Demographics
NPI:1235886623
Name:CAPIZ, RACHEL (LPN)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:CAPIZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 E ALDER LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-1402
Mailing Address - Country:US
Mailing Address - Phone:224-804-5678
Mailing Address - Fax:
Practice Address - Street 1:1002 E ALDER LN
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-1402
Practice Address - Country:US
Practice Address - Phone:224-804-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL043.123037164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse