Provider Demographics
NPI:1689785594
Name:HUME, RACHEL (ATC/L)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HUME
Suffix:
Gender:F
Credentials:ATC/L
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:HYNDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:1347 AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-2928
Mailing Address - Country:US
Mailing Address - Phone:630-345-5614
Mailing Address - Fax:
Practice Address - Street 1:3108 STATE ROUTE 59
Practice Address - Street 2:SUITE 136
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8021
Practice Address - Country:US
Practice Address - Phone:630-922-3844
Practice Address - Fax:630-922-3845
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer