EWA RAFACZ (NPI# 1154878510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
9831 S WESTERN AVE |
City | CHICAGO |
State | IL |
Zip Code | 60643-1740 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 60643 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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 |
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.