Salazar, Raquel

Salazar, Raquel is an individual health care provider with primary practice located at 2160 S 1St Ave Ems (110) Building, Suite 6237, Maywood IL 60153-3328. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Salazar, Raquel can be contacted via phone (708) 327-2503.

Contact Information

Primary practice address
2160 S 1St Ave Ems (110) Building, Suite 6237 Maywood IL 60153-3328
Phone: (708) 327-2503
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085003709 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2212-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2212-023 Wisconsin

Profile Details

NPI number 1912196544
LBN Legal business name Salazar, Raquel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2007
Last updated Jul 2nd, 2015 - about 9 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 1912196544 NPPES
Wisconsin MEDICAID 38180400

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