MRS. RACHEL BRUCAS (NPI# 1457894768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457894768 |
Entity Type | Individual |
Full Name | MRS. RACHEL BRUCAS |
Other Name | RACHEL MORTELL |
Credential | PA-C |
Practice Address |
9760 S Kedzie Ave Evergreen Park IL 60805-3109 |
Practice Telephone | 7084236209 |
Mailing Telephone | 7084236209 |
Enumeration Date | 2016-11-18 |
Last Update Date | 2016-11-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 085.006005 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
9760 S KEDZIE AVE |
City | EVERGREEN PARK |
State | IL |
Zip Code | 60805-3109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306836663 | Thomas Joseph | Internal Medicine | 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | 2005-10-26 |
1518445543 | Christine Najarian | Physician Assistant | 9760 S Kedzie Ave, Evergreen Park, IL 60805-3109 | 2018-08-01 |
1760927057 | Wellcare Pharmacy LLC | Pharmacy | 9760 S Kedzie Ave, Evergreen Park, IL 60805-3109 | 2016-12-22 |
1841587334 | Kristina Ann Johnson | Family Medicine | 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | 2011-07-05 |
1033438460 | Health Solutions At Home Inc | Home Health | 9760 S Kedzie Ave, Suite 10b, Evergreen Park, IL 60805-3109 | 2010-05-25 |
1487987707 | Alicia Lopez | Pediatrics | 9760 S Kedzie Ave, Suite 11, Evergreen Park, IL 60805-3109 | 2009-09-18 |
1073746046 | George Thomas | Family Medicine | 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | 2009-08-25 |
1447449616 | Evergreen Care Center Ltd | General Practice | 9760 S Kedzie Ave, Suite 3, Evergreen Park, IL 60805-3109 | 2007-10-23 |
1891984068 | Park Primary Care Ltd | General Practice | 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | 2007-10-23 |
1740488154 | Thomas Anthony Koludrovic | Dentist | 9760 S Kedzie Ave, Suite 4, Evergreen Park, IL 60805 | 2007-07-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
Find all providers in zip 60805 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134639008 | Jessica Schafer | Physician Assistant | 9760 S Kedzie Ave Ste 3, Evergreen Park, IL 60805-3184 | 2017-10-05 |
1225679699 | Natalia Adriana Cotton | Physician Assistant | 3749 W 95th St, Evergreen Park, IL 60805-2019 | 2019-10-07 |
1386203610 | Taylor Morgan Tigue | Physician Assistant | 2800 W 95th St, Evergreen Park, IL 60805-2795 | 2019-06-11 |
1003390089 | Julie Chang | Physician Assistant | 3749 W 95th St, Evergreen Park, IL 60805-2019 | 2018-09-17 |
1518445543 | Christine Najarian | Physician Assistant | 9760 S Kedzie Ave, Evergreen Park, IL 60805-3109 | 2018-08-01 |
1972002491 | Juli Dziuban | Physician Assistant | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2018-02-10 |
1366961203 | Monica Lynn Hand | Physician Assistant | 3749 W 95th St, Evergreen Park, IL 60805-2019 | 2017-09-12 |
1407306400 | Kathleen Mary Galyean | Physician Assistant | 2850 W 95th Street, Suite 400, Evergreen Park, IL 60805 | 2016-10-13 |
1063779270 | Stephanie J Cermak | Physician Assistant | 2850 W. 95th Street, Suite 400, Evergreen Park, IL 60805 | 2012-04-12 |
1265754329 | Kenrick L Roberts | Physician Assistant | 2850 W 95th St, Suite 301, Evergreen Park, IL 60805-2735 | 2010-02-17 |
Find all providers in EVERGREEN PARK |
City | EVERGREEN PARK |
Zip Code | 60805 |
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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.