Provider Demographics
NPI: | 1891025557 |
---|---|
Name: | WOKER, RACHEL E (APRN) |
Entity type: | Individual |
Prefix: | |
First Name: | RACHEL |
Middle Name: | E |
Last Name: | WOKER |
Suffix: | |
Gender: | |
Credentials: | APRN |
Other - Prefix: | |
Other - First Name: | RACHEL |
Other - Middle Name: | E |
Other - Last Name: | DREW |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | APRN |
Mailing Address - Street 1: | PO BOX 735263 |
Mailing Address - Street 2: | |
Mailing Address - City: | CHICAGO |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60673-5263 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 815-398-9491 |
Mailing Address - Fax: | 815-381-7498 |
Practice Address - Street 1: | 2902 MCFARLAND RD STE 300 |
Practice Address - Street 2: | |
Practice Address - City: | ROCKFORD |
Practice Address - State: | IL |
Practice Address - Zip Code: | 61107-6801 |
Practice Address - Country: | US |
Practice Address - Phone: | 815-398-9491 |
Practice Address - Fax: | 815-381-7498 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2009-12-31 |
Last Update Date: | 2025-03-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
IL | 209007904 | 363L00000X, 364S00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | |
Yes | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
WI | 1891025557 | Medicaid |