Provider Demographics
NPI:1477833879
Name:HILL, RACHEL V (PSYD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:V
Last Name:HILL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6663
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-0663
Mailing Address - Country:US
Mailing Address - Phone:312-985-6747
Mailing Address - Fax:
Practice Address - Street 1:150 S WACKER DR STE 2400
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-4211
Practice Address - Country:US
Practice Address - Phone:312-985-6747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071008822103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1285628552OtherAGENCY NPI #
NY00355940OtherAGENCY MEDICAID #
NYWVE061OtherAGENCY MEDICARE #