PATRICIA A RAETZ (NPI# 1760495410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760495410 |
| Entity Type | Individual |
| Full Name | PATRICIA A RAETZ |
| Credential | BSN/MSN/APN |
| Practice Address |
259 E Erie St Chicago IL 60611 |
| Mailing Address |
25 Winfield Road Winfield IL 60190 |
| Practice Telephone | 3126958143 |
| Practice Fax Number | 3126954430 |
| Mailing Telephone | 6306144066 |
| Mailing Fax Number | 6306144069 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SN0800X |
Clinical Nurse Specialist Specialization: Neuroscience |
209001060 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | TAX IDENTIFICATION NUMBER | 36-3149833 | 01 |
| IL | MEDICARE RAILROAD | P00686148 | 01 |
| IL | BLUE CROSS GROUP NUMBER | 0222075 | 01 |
| IL | MEDICARE RR GROUP NUMBER | CA4748 | 01 |
| IL | CDPG HFS PAYEE ID | 3631498336019001 | 01 |
| Street Address |
259 E ERIE ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071293 | Kiran Nimmagadda | Internal Medicine | 259 E Erie St, Suite 2250, Chicago, IL 60611-2987 | 2005-08-30 |
| 1750948436 | Mark Timothy Steinhauser | Physician Assistant | 259 E Erie St, Chicago, IL 60611 | 2019-05-28 |
| 1871056283 | Abigail Joy Mckay | Nurse Practitioner | 259 E Erie St, Chicago, IL 60611-2987 | 2019-04-11 |
| 1013472406 | Gretchen York | Nurse Practitioner | 259 E Erie St, Chicago, IL 60611-2987 | 2019-02-10 |
| 1861963878 | Yin Gao | Internal Medicine | 259 E Erie St, Chicago, IL 60611-2987 | 2018-12-17 |
| 1407347867 | Masa Chalupa | Physical Therapist | 259 E Erie St, Chicago, IL 60611-2987 | 2018-05-22 |
| 1053813055 | Christina Nieto Quiroga | Registered Nurse | 259 E Erie St, Chicago, IL 60611-2987 | 2018-03-06 |
| 1417478744 | Oladipupo Odunewu | Physician Assistant | 259 E Erie St, Chicago, IL 60611-2987 | 2017-06-27 |
| 1801337589 | Bradley Pennington | Physician Assistant | 259 E Erie St, 13th Floor, Chicago, IL 60611-2987 | 2017-03-15 |
| 1164960001 | Abigail Conlon Pairitz | Registered Nurse | 259 E Erie St, Chicago, IL 60611-2987 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 364SN0800X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Neuroscience |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285845149 | Christina Marie Amidei | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2007-05-24 |
| 1316151327 | Bessie Laura Weiss | Clinical Nurse Specialist | 251 E Huron St, Feinberg 4-508, Chicago, IL 60611-2908 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346441490 | Deborah M. Lynch | Clinical Nurse Specialist | 2650 Ridge Ave, Neurology, Burch 309, Evanston, IL 60201-1718 | 2007-05-29 |
| 1396839031 | Donna Martinek | Clinical Nurse Specialist | 71 West 156th Street, Suite 308, Harvey, IL 60426 | 2006-10-03 |
Please comment or provide details below to improve the information on PATRICIA A RAETZ.
| 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.