Provider Demographics
NPI:1932668993
Name:KLAUBER, RACHEL (DO)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:KLAUBER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 LAKE ST STE LL60
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1099
Mailing Address - Country:US
Mailing Address - Phone:708-434-4090
Mailing Address - Fax:708-948-7847
Practice Address - Street 1:1100 LAKE ST STE LL60
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1099
Practice Address - Country:US
Practice Address - Phone:708-434-4090
Practice Address - Fax:708-948-7847
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.1578502084P0800X
IL125.0745542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry