Individual provider · Type 1 NPI

Rachel Marie Supple, PA-C

Surgical Physician Assistant · Evanston, IL

NPI number 1821642455 Active

Practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Call (847) 570-2000 Map

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085007211 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1821642455

Rachel Marie Supple, PA-C's National Provider Identifier is 1821642455, issued on Jul 31, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Evanston, IL. The record was last updated on Mar 26, 2026.