RAQUEL SALAZAR PA NPI 1912196544

NPI Information

  • NPI: 1912196544
  • Provider Name: RAQUEL SALAZAR, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2160 S 1ST AVE
    EMS (110) BUILDING, SUITE 6237
    MAYWOOD, IL
    ZIP 60153
  • Phone: (708) 327-2503

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NPI Details

Raquel Salazar, PA is a surgical physician assistant in Maywood, IL with 19 years of experience. Raquel Salazar, PA NPI is 1912196544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2160 S 1ST AVE
EMS (110) BUILDING, SUITE 6237
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 327-2503

The NPI 1912196544 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 10/19/2007 and was last updated on 7/2/2015.

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
1363A00000XPhysician Assistant2212-023WISCONSINNo
2363AS0400XPhysician AssistantSurgical2212-023WISCONSINNo
3363AS0400XPhysician AssistantSurgical085003709ILLINOISYes

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
1002068870MEDICARE PINWISCONSIN
2002173151MEDICARE PINWISCONSIN
338180400MEDICAIDWISCONSIN

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: 11/21/2025

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