Provider Demographics
NPI:1972017838
Name:RAMIREZ, RACHEL
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2821 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PERU
Mailing Address - State:IL
Mailing Address - Zip Code:61354-3109
Mailing Address - Country:US
Mailing Address - Phone:563-249-6878
Mailing Address - Fax:
Practice Address - Street 1:370 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:IL
Practice Address - Zip Code:60531-9400
Practice Address - Country:US
Practice Address - Phone:815-495-3231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2019-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist