Provider Demographics
NPI:1821244328
Name:SACCARO, RACHEL A (DO)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:A
Last Name:SACCARO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4820 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-3212
Mailing Address - Country:US
Mailing Address - Phone:773-545-2525
Mailing Address - Fax:773-205-5700
Practice Address - Street 1:4820 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-3212
Practice Address - Country:US
Practice Address - Phone:773-545-2525
Practice Address - Fax:773-205-5700
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.126004208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics