Provider Demographics
NPI:1891701702
Name:O'MARA, RACHEL ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ANNE
Last Name:O'MARA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:676 N SAINT CLAIR ST
Mailing Address - Street 2:SUITE 1740
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2927
Mailing Address - Country:US
Mailing Address - Phone:312-926-0444
Mailing Address - Fax:312-926-2797
Practice Address - Street 1:676 N SAINT CLAIR ST
Practice Address - Street 2:SUITE 1740
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2927
Practice Address - Country:US
Practice Address - Phone:312-926-0444
Practice Address - Fax:312-926-2797
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2021-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-113766207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH51719Medicare UPIN