Provider Demographics
NPI:1912880709
Name:BOLIN, RACHEL LEA (CD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEA
Last Name:BOLIN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5015 N DAMEN AVE APT 1S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-7704
Mailing Address - Country:US
Mailing Address - Phone:312-623-1462
Mailing Address - Fax:
Practice Address - Street 1:5015 N DAMEN AVE APT 1S
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-7704
Practice Address - Country:US
Practice Address - Phone:312-623-1462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula