Provider Demographics
NPI:1154615656
Name:WALDINGER, RACHEL ELISABETH (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ELISABETH
Last Name:WALDINGER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1740 W TAYLOR ST
Mailing Address - Street 2:3200W UIH M/C515
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-7232
Mailing Address - Country:US
Mailing Address - Phone:312-996-4021
Mailing Address - Fax:312-996-4019
Practice Address - Street 1:1740 W TAYLOR ST
Practice Address - Street 2:3200W UIH M/C515
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-7232
Practice Address - Country:US
Practice Address - Phone:312-996-4021
Practice Address - Fax:312-996-4019
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL390200000X
IL036139769207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program