Provider Demographics
NPI:1235855529
Name:SZARFINSKI, RAQUEL LYN (FNP-C)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:LYN
Last Name:SZARFINSKI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 FOREST AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60546-2554
Mailing Address - Country:US
Mailing Address - Phone:708-408-8810
Mailing Address - Fax:
Practice Address - Street 1:534 PLAINFIELD RD
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-5342
Practice Address - Country:US
Practice Address - Phone:630-506-3428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILF10220706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily