Provider Demographics
NPI:1639109002
Name:GEORGE, RACHEL M (MD, MBA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MESA DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-1094
Mailing Address - Country:US
Mailing Address - Phone:815-218-1669
Mailing Address - Fax:
Practice Address - Street 1:9 MESA DR
Practice Address - Street 2:
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-1094
Practice Address - Country:US
Practice Address - Phone:847-836-6031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036107227208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL063107227Medicaid
IL063107227Medicaid
ILL99066Medicare PIN