Individual provider · Type 1 NPI
Raquel Salazar, PA
Surgical Physician Assistant · Maywood, IL
NPI number
1912196544
Active
Practice location
2160 S 1st Ave, Ems (110) Building, Suite 6237
Maywood, IL 60153-3328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 085003709 (IL) |
| Physician Assistant | 363A00000X | 2212-023 (WI) |
| Surgical Physician Assistant | 363AS0400X | 2212-023 (WI) |
Surgical Physician Assistant: Definition to come...
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About NPI 1912196544
Raquel Salazar, PA's National Provider Identifier is 1912196544, issued on Oct 19, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Maywood, IL. The record was last updated on Jul 2, 2015.