EWA RAFACZ


Address: 9831 S Western Ave, Chicago, IL 60643-1740
Phone: 7734453500

EWA RAFACZ (NPI# 1154878510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154878510
Entity Type Individual
Full Name EWA RAFACZ
Credential N.P
Practice Address 9831 S Western Ave
Chicago
IL 60643-1740
Mailing Address 9021 Nashville Ave
Oak Lawn
IL 60453-1458
Practice Telephone 7734453500
Mailing Telephone 7082894553
Enumeration Date 2016-09-02
Last Update Date 2016-09-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 041.295516 IL Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
209.014365 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9831 S WESTERN AVE
City CHICAGO
State IL
Zip Code 60643-1740

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689667479 Lucius C Earles Dermatology 9831 S Western Ave, Chicago, IL 60643-1740 2005-08-26
1598234999 Colleen Marie Tumino Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2018-11-15
1144799446 Robert Joseph Stachler Massage Therapist 9831 S Western Ave, Chicago, IL 60643-1740 2018-11-15
1164991568 Karen Lynn Duggan Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2018-11-15
1881163285 Megan Corr Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2018-11-15
1952895971 Vaishali Shah Pharmacist 9831 S Western Ave, Chicago, IL 60643-1740 2018-06-22
1174045462 Kinsey Nolan Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2017-07-09
1467981571 Karmen Maytum Nurse Practitioner 9831 S Western Ave, Chicago, IL 60643-1740 2017-06-12
1386178226 Kristy Hynes Nurse Practitioner 9831 S Western Ave, Chicago, IL 60643-1740 2017-04-18
1972959054 Advocate Medical Group Clinic/Center 9831 S Western Ave, Suite 396, Chicago, IL 60643-1740 2016-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154941698 Breann Hampton Behavior Technician 1214 W 115th St, Chicago, IL 60643 2020-04-24
1366075566 Sanctuary Counseling, LLC Home Health 12247 S Racine Ave, Calumet Park, IL 60643 2020-02-16
1467082883 Juliana Frances Cunningham Developmental Therapist 10037 S Bell, Chicago, IL 60643 2020-01-24
1013578624 Sct Counseling Counselor 11948 S Western Ave, Chicago, IL 60643 2019-06-25
1073087474 For Eyes Optical Company of Pa Optometrist 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 2019-01-18
1073096426 Derek Peake Physical Therapist 9465 S. Western Road, Chicago, IL 60643 2018-09-12
1508356072 Halo Medical Professionals Sc. Chiropractor 10650 S Western Ave, Chicago, IL 60643 2018-05-10
1811405699 Kara Eileen Noland Developmental Therapist 9327 S Hamilton Ave, Chicago, IL 60643 2018-01-16
1588173546 Kiah Nicole Bouie Behavioral Analyst 1461 W 113th Pl, Chicago, IL 60643 2017-09-21
1174042766 Travis Wade Robertson Physical Therapist 10909-11 S Western Ave, Beverly, IL 60643 2017-09-14
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932724200 Tatyana Menaker Nurse Practitioner 2958 West Devon Ave, Chicago, IL 60659 2020-06-12
1366926347 Kimberly Snell Blanchard Nurse Practitioner 600 S Paulina St Ste 130, Chicago, IL 60612-3806 2018-09-17
1942796123 Elizabeth R Reyna Nurse Practitioner 5841 S Maryland Ave # Mc7120, Chicago, IL 60637-1443 2018-07-10
1518475615 Kyla Lynn Musser Nurse Practitioner 2525 S Michigan Ave Ste 12, Chicago, IL 60616-2315 2018-01-11
1942717418 Madiha Khan Nurse Practitioner 3000 N Halsted St Ste 623, Chicago, IL 60657 2018-01-05
1952828980 Paulina Petrishka Nurse Practitioner 1115 N Crosby St # C, Chicago, IL 60610-2405 2017-08-30
1831639384 Ivory Rhymes Nurse Practitioner 8750 W Bryn Mawr Ave, Chicago, IL 60631-3655 2017-03-02
1265971204 Venus Liezl Basnillo- San Diego Nurse Practitioner 1628 N Bell Ave, Apt 1, Chicago, IL 60647-5289 2017-02-22
1093253718 Daniel Robert Mead Nurse Practitioner 1540 W Chicago Ave, Chicago, IL 60642-5236 2017-02-01
1992249585 Karen Panganiban Nurse Practitioner 4605 N Elston Ave, 3a, Chicago, IL 60630-4373 2016-12-15
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Competitor

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City CHICAGO
Zip Code 60643

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Dataset Information

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.

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