Provider Demographics
NPI:1801856836
Name:STORY, RACHEL EVELYN (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:EVELYN
Last Name:STORY
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1718
Mailing Address - Country:US
Mailing Address - Phone:847-570-2431
Mailing Address - Fax:847-733-5109
Practice Address - Street 1:1000 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1777
Practice Address - Country:US
Practice Address - Phone:847-570-2431
Practice Address - Fax:847-733-5109
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036105712207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036105712Medicaid
I16501Medicare UPIN
ILK20806Medicare ID - Type Unspecified