Provider Demographics
NPI:1750542072
Name:PRITZKER, RACHEL NEEMS (MD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:NEEMS
Last Name:PRITZKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:BETH
Other - Last Name:NEEMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:515 N STATE ST STE 900
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-9104
Mailing Address - Country:US
Mailing Address - Phone:312-245-9965
Mailing Address - Fax:312-245-9964
Practice Address - Street 1:515 N STATE ST STE 900
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-9104
Practice Address - Country:US
Practice Address - Phone:312-245-9965
Practice Address - Fax:312-245-9964
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251794207N00000X
IL036.130059207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILFP3552266OtherDEA