Individual
RAQUEL HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6059 S ASHLAND AVE, CHICAGO, IL 60636-2303
(773) 434-3700
Mailing address
17811 COUNTRY CLUB LN, COUNTRY CLUB HILLS, IL 60478-4922
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209020189
IL
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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