Provider Demographics
NPI:1275215360
Name:GUTHRIE, RACHEL CAMILLE ROBIN
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:CAMILLE ROBIN
Last Name:GUTHRIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22928 RIDGEWAY AVE
Mailing Address - Street 2:
Mailing Address - City:RICHTON PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60471-2547
Mailing Address - Country:US
Mailing Address - Phone:708-244-7413
Mailing Address - Fax:
Practice Address - Street 1:22928 RIDGEWAY AVE
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-2547
Practice Address - Country:US
Practice Address - Phone:708-244-7413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No171400000XOther Service ProvidersHealth & Wellness Coach
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant