Raetz, Patricia A

Raetz, Patricia A is an individual health care provider with primary practice located at 259 E Erie St , Chicago IL 60611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neuroscience, which is considered as her primary health care specialty. Raetz, Patricia A can be contacted via phone (312) 695-8143.

Contact Information

Primary practice address
259 E Erie St Chicago IL 60611
Phone: (312) 695-8143
Fax: (312) 695-4430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neuroscience 364SN0800X 209001060 Illinois

Profile Details

NPI number 1760495410
LBN Legal business name Raetz, Patricia A
Credentials BSN/MSN/APN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 25th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760495410 NPPES
Illinois Other 0222075 BLUE CROSS GROUP NUMBER
Illinois Other 36-3149833 BLUE CROSS GROUP NUMBER
Illinois Other P00686148 BLUE CROSS GROUP NUMBER
Illinois Other 3631498336019001 BLUE CROSS GROUP NUMBER
Illinois Other CA4748 BLUE CROSS GROUP NUMBER

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