Provider Demographics
NPI:1629746359
Name:HUNT, RACHEL HELENE (DPT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:HELENE
Last Name:HUNT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S SANGAMON ST STE 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-5167
Mailing Address - Country:US
Mailing Address - Phone:312-243-9350
Mailing Address - Fax:
Practice Address - Street 1:333 E BENTON PL STE 108
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7411
Practice Address - Country:US
Practice Address - Phone:312-929-3646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070025204225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist