Raquel Hudson
Nurse Practitioner, Women's Health in Chicago, IL. Individual provider (NPI-1).
NPI number1629619085
StatusActive
Last updated in NPPESOct 7, 2019
Details
- NPI
- 1629619085
- Entity type
- Individual (NPI-1)
- Name
- Raquel Hudson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 7, 2019
- Last updated
- Oct 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | 209020189 | IL | Yes |
Practice location
6059 S Ashland AveChicago, IL 60636-2303
Phone 773-434-3700
Mailing address
17811 Country Club LnCountry Club Hills, IL 60478-4922
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