RAQUEL HUDSON (NPI# 1629619085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629619085 |
| Entity Type | Individual |
| Full Name | RAQUEL HUDSON |
| Practice Address |
6059 S Ashland Ave Chicago IL 60636-2303 |
| Mailing Address |
17811 Country Club Ln Country Club Hills IL 60478-4922 |
| Practice Telephone | 7734343700 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
209020189 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6059 S ASHLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60636-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790192623 | Planned Parenthood of Illinois | Clinic/Center | 6059 S Ashland Ave, Chicago, IL 60636-2303 | 2014-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124438742 | Habilitative Systems, Inc. | Case Management | 6845 S Western Ave, Chicago, IL 60636 | 2014-05-05 |
| 1346505286 | Sneha Abichandani | Pediatrics | 5843 South Western, Chicago, IL 60636 | 2012-07-06 |
| 1972812501 | Westwood Medical Ceter Inc | Surgery | 6326 S. Ashland Avenue, Chicago, IL 60636 | 2010-09-30 |
| 1104134915 | Mamanatandathernizampc. | Clinic/Center | 2001 W.69thst., Chicago, IL 60636 | 2010-09-15 |
| 1295966562 | Carla Maria Lennan | Durable Medical Equipment & Medical Supplies | 6343 S. Western, Chicago, IL 60636 | 2009-08-04 |
| 1083826507 | Devere J Herron | Dentist | 7203 South Western Avenue, Chicago, IL 60636 | 2007-05-04 |
| 1427155910 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1620 West 59th St, Chicago, IL 60636 | 2006-09-19 |
| 1023031473 | J &j Pharmacy Ltd. | Pharmacist | 2001 W 69th Street, Clinic Pharmacy, Chicago, IL 60636 | 2006-07-26 |
| 1831169218 | Michael A. Luckett, Dmd & Associates (western | Dentist | 6153 South Western Avenue, Chicago, IL 60636 | 2006-01-26 |
| 1457330870 | Friend Family Health Center, Inc | Clinic/Center | 5843 S. Western Avenue, Chicago, IL 60636 | 2006-01-13 |
| Find all providers in zip 60636 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959864 | Jennifer Marie Nieves | Nurse Practitioner | 34 E Oak St Ste 6, Chicago, IL 60611-1231 | 2020-03-29 |
| 1093340275 | Nicole Price | Nurse Practitioner | 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 | 2020-03-07 |
| 1497318372 | Rachael Elizabeth Thomas | Nurse Practitioner | 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 | 2019-04-17 |
| 1922499102 | Jenna Rezzardi | Nurse Practitioner | 1827 N Clybourn Ave, Apt 2, Chicago, IL 60614-8951 | 2015-02-10 |
| 1174954069 | Cheryl Mandell | Nurse Practitioner | 1250 N Maplewood Ave, Chicago, IL 60622-2857 | 2013-12-03 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1932409489 | Catherine Shannon Dezynski | Nurse Practitioner | 5215 N California Ave Fl 7, Chicago, IL 60625-7014 | 2010-11-01 |
| 1447477401 | Annette Sue Ramsburg | Nurse Practitioner | 5086 Elston Ave., Chicago, IL 60630 | 2007-04-19 |
| 1962625756 | Evelyn Angel Aztlan-keahey | Nurse Practitioner | 659 W. Washington Blvd, Chicago, IL 60661 | 2007-04-10 |
| 1083793616 | Sally Helene Lemke | Nurse Practitioner | 600 S. Paulina Aac 1080, Rush University Medical Center, Chicago, IL 60612 | 2006-11-03 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.