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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RAQUEL SALAZAR, PA

Active

RAQUEL SALAZAR, PA is a Surgical Physician Assistant healthcare provider located in MAYWOOD, Illinois. NPI 1912196544 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · MAYWOOD, IL

Registration Details

NPI Number
1912196544
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2007 (18.861950996368 yrs)
Last Updated
Jul 2, 2015
Licenses
085003709 (IL)
2212-023 (WI)
2212-023 (WI)

Practice Information

Address
2160 S 1ST AVE
EMS (110) BUILDING, SUITE 6237
MAYWOOD, IL, 601533328
Browse IL providers · Browse ZIP 60153
Phone
7083272503
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in MAYWOOD, IL

Name Credential NPI
MRS. LINDA LOUISE FREDERICK PA-C 1427358530
BIANCA RISCHE PA-C 1013490721
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.