Provider Demographics
NPI:1811524713
Name:LAUBER, RACHEL (APRN, CNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:LAUBER
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 S WAUKEGAN RD STE 100&200
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-5239
Mailing Address - Country:US
Mailing Address - Phone:312-695-4525
Mailing Address - Fax:312-503-3350
Practice Address - Street 1:350 S WAUKEGAN RD STE 100&200
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5239
Practice Address - Country:US
Practice Address - Phone:312-695-4525
Practice Address - Fax:312-503-3350
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-23
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209019959363L00000X
IL209109959207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine