Provider Demographics
NPI:1982317202
Name:AKEWUSHOLA, RACHEL (RN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:AKEWUSHOLA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7455 N GREENVIEW AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-1743
Mailing Address - Country:US
Mailing Address - Phone:773-712-7442
Mailing Address - Fax:
Practice Address - Street 1:7455 N GREENVIEW AVE
Practice Address - Street 2:APT 101
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-1743
Practice Address - Country:US
Practice Address - Phone:773-712-7442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041485910163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health