PATRICIA A RAETZ BSN/MSN/APN NPI 1760495410

NPI Information

NPI: 1760495410
Provider Name: PATRICIA A RAETZ, BSN/MSN/APN
Classification: Clinical Nurse Specialist - 364SN0800X
Entity Type: Individual

Specialization: Neuroscience

Organization: NORTHWESTERN MEDICAL FACULTY FOUNDATION

PECOS Registration: Yes

Address:
259 E ERIE ST
CHICAGO, IL
ZIP 60611
Phone: (312) 695-8143
Get Directions

Patricia A Raetz, BSN/MSN/APN is a neuroscience clinical nurse specialist in Chicago, IL with 30 years of experience. Patricia A Raetz, BSN/MSN/APN NPI is 1760495410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

259 E ERIE ST
CHICAGO, IL
ZIP 60611
Phone: (312) 695-8143
Fax: (312) 695-4430

The NPI 1760495410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 7/25/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SN0800X	Clinical Nurse Specialist	Neuroscience	209001060	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3631498336019001	OTHER	ILLINOIS	CDPG HFS PAYEE ID
2	0222075	OTHER	ILLINOIS	BLUE CROSS GROUP NUMBER
3	36-3149833	OTHER	ILLINOIS	TAX IDENTIFICATION NUMBER
4	P00686148	OTHER	ILLINOIS	MEDICARE RAILROAD
5	$$$$$$$$$001	MEDICAID	ILLINOIS
6	CA4748	OTHER	ILLINOIS	MEDICARE RR GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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