Individual
RAQUEL ANN WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
836 W WELLINGTON AVE RM 4813CC, CHICAGO, IL 60657-5147
(773) 296-5073
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036155964
IL
2086S0102X
Surgical Critical Care Physician
Primary
036155964
IL
2086S0127X
Trauma Surgery Physician
036155964
IL
2086S0127X
Trauma Surgery Physician
ME140744
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2013
Last updated
10/27/2022
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