Provider Demographics
NPI:1013468628
Name:PIOCH, RACHEL (ATC)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:
Last Name:PIOCH
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 BIRCHBARK TRL
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-9181
Mailing Address - Country:US
Mailing Address - Phone:630-453-3929
Mailing Address - Fax:
Practice Address - Street 1:1308 BIRCHBARK TRL
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-9181
Practice Address - Country:US
Practice Address - Phone:630-453-3929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL096004236246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other