Provider Demographics
NPI:1548913726
Name:MINZNER, RACHEL N (MAFP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:N
Last Name:MINZNER
Suffix:
Gender:F
Credentials:MAFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 E ERIE ST APT 3703
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-7136
Mailing Address - Country:US
Mailing Address - Phone:513-404-6590
Mailing Address - Fax:
Practice Address - Street 1:212 S MARION ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-3257
Practice Address - Country:US
Practice Address - Phone:550-731-2415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health