Provider Demographics
NPI:1073349296
Name:FEAR, RACHEL JOY (CNM)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:JOY
Last Name:FEAR
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-1308
Mailing Address - Country:US
Mailing Address - Phone:217-918-9124
Mailing Address - Fax:
Practice Address - Street 1:521 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-1308
Practice Address - Country:US
Practice Address - Phone:217-918-9124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILCNM0968367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife