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Contact Information

PATRICIA A RAETZ, BSN/MSN/APN
259 E ERIE ST
CHICAGO, IL60611
 Phone: 312-695-8143
 Fax: 312-695-4430
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuroscience

364SN0800X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for PATRICIA A RAETZ · (Female)

NPI Number 1760495410
Status Active
Credentials BSN/MSN/APN
Entity Individual
Enumeration date 08/14/2006
Last updated 07/25/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209001060
  • IL Other 0222075 BLUE CROSS GROUP NUMBER
  • IL Other 3631498336019001 CDPG HFS PAYEE ID
  • IL Other P00686148 MEDICARE RAILROAD
  • IL Other CA4748 MEDICARE RR GROUP NUMBER
  • IL Other 36-3149833 TAX IDENTIFICATION NUMBER
Hospital affiliation(s)
  • CENTEGRA HEALTH SYSTEM - MC HENRY HOSPITAL - (Acute Care)
    4201 MEDICAL CENTER DRIVE
    MCHENRY, IL 60050
  • CENTRAL DUPAGE HOSPITAL - (Acute Care)
    25 NORTH WINFIELD ROAD
    WINFIELD, IL 60190
  • LAKE FOREST HOSPITAL - (Acute Care)
    660 N WESTMORELAND ROAD
    LAKE FOREST, IL 60045
  • NORTHWESTERN MEMORIAL HOSPITAL - (Acute Care)
    251 E HURON ST
    CHICAGO, IL 60611
  • PALOS COMMUNITY HOSPITAL - (Acute Care)
    12251 SOUTH 80TH AVENUE
    PALOS HEIGHTS, IL 60463
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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