Provider Demographics
NPI:1821615055
Name:RAMSAY, RACHEL LAUREN (DMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LAUREN
Last Name:RAMSAY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 N NORTH PARK AVE APT 3N
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-5690
Mailing Address - Country:US
Mailing Address - Phone:217-552-2956
Mailing Address - Fax:
Practice Address - Street 1:1610 W FULLERTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-2659
Practice Address - Country:US
Practice Address - Phone:773-868-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-03
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019032772122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist