Provider Demographics
NPI:1720710866
Name:OREAR, RACHEL NICOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:NICOLE
Last Name:OREAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370A WHITEWATER DR APT 204
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-7972
Mailing Address - Country:US
Mailing Address - Phone:423-762-5331
Mailing Address - Fax:
Practice Address - Street 1:16626 W 159TH ST STE 700
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-8019
Practice Address - Country:US
Practice Address - Phone:331-280-2367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-28
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038013867111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor