Ms Raquel Ana Eguia, DPT | |
5658 S. Parkside Ave, Chicago, IL 60638 | |
(773) 678-5676 | |
Not Available |
Full Name | Ms Raquel Ana Eguia |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 5658 S. Parkside Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184963134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.019467 (Illinois) | Primary |
Provider Name | Rci (wrs), Llc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1417561655 PECOS PAC ID: 5092624510 Enrollment ID: O20120406000287 |
Mailing Address | Practice Location Address |
---|---|
Ms Raquel Ana Eguia, DPT 5658 S Parkside Ave, Chicago, IL 60638-3713 Ph: (773) 678-5676 | Ms Raquel Ana Eguia, DPT 5658 S. Parkside Ave, Chicago, IL 60638 Ph: (773) 678-5676 |
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