Rachel Shane, PA-C
Physician Assistant in Chicago, IL. Individual provider (NPI-1).
Details
- NPI
- 1962026997
- Entity type
- Individual (NPI-1)
- Name
- Rachel Shane
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2020
- Certification date
- Apr 25, 2024
- Last updated
- Apr 25, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085009026 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
680 N Lake Shore Dr Ste 1200Chicago, IL 60611-8702
Phone 312-440-9400 · Fax 312-440-0423
Mailing address
680 N Lake Shore Dr Ste 1200Chicago, IL 60611-8702
Phone 312-440-9400 · Fax 312-440-0423
Other practice locations
Chicago, IL 60611-3133
Phone 312-926-3627 · Fax 312-694-4103
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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