RACHEL L COLBY (NPI# 1144266578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144266578 |
| Entity Type | Individual |
| Full Name | RACHEL L COLBY |
| Other Name | RACHEL L ROBINSON |
| Credential | PAC |
| Practice Address |
4231 Progress Blvd Suite 4 Peru IL 61354-1193 |
| Practice Telephone | 8157808627 |
| Practice Fax Number | 8157808630 |
| Mailing Telephone | 8157808627 |
| Mailing Fax Number | 8157808630 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2011-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085003446 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1782 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA# | MC0712491 | 01 | |
| IL | MEDICARE | IL6014002 | 01 |
| WI | 41994100 | 05 |
| Street Address |
4231 PROGRESS BLVD SUITE 4 |
| City | PERU |
| State | IL |
| Zip Code | 61354-1193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962476184 | Rakesh K Garg | Psychiatry & Neurology | 4231 Progress Blvd, Peru, IL 61354 | 2006-02-14 |
| 1184030900 | Moira Sibbaluca | Physical Therapist | 4231 Progress Blvd, Peru, IL 61354-1193 | 2014-07-02 |
| 1336428192 | Illinois Valley Spine Institute LLC | Orthopaedic Surgery | 4231 Progress Blvd, 4, Peru, IL 61354-1193 | 2011-08-11 |
| 1528231933 | Dennis Nink | Physical Therapist | 4231 Progress Blvd, Peru, IL 61354-1193 | 2008-04-07 |
| 1922114040 | Jason Allan Bergandi | Orthopaedic Surgery | 4231 Progress Blvd, 4, Peru, IL 61354-1193 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
| 1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
| 1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
| 1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
| 1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
| 1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
| 1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
| 1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
| 1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
| Find all providers in zip 61354 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821195157 | Elizabeth Rose Ahern | Physician Assistant | 3384 Route 22, Peru, NY 12972 | 2006-09-20 |
| 1306869672 | Adirondack Healthcare Associates, LLC | Physician Assistant | 3384 State Route 22, Peru, NY 12972-5305 | 2006-07-26 |
| 1467484873 | Robin Marie Hinson | Physician Assistant | 3384 State Route 22, Peru, NY 12972-5305 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.