Individual provider Active NPI

Rachel Lynne Baugues, PA-C

  • Physician Assistant
  • Bellwood, IL
National Provider Identifier
1730244237
Registry record updated Oct 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085002909 Issued in IL
Practice address
2615 Harrison St
Bellwood, IL 60104-2450
Phone
(708) 493-0299
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085002909 IL Primary

Addresses

Primary practice location

2615 Harrison St
Bellwood, IL 60104-2450

Mailing address

1531 N Bell Ave
Chicago, IL 60622-1834
Phone (773) 895-8922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085002909ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Birinder S Marwah MD LTD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288396800000",
    "number": "1730244237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 N BELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221834",
            "telephone_number": "773-895-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 HARRISON ST",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601042450",
            "telephone_number": "708-493-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGUES",
        "first_name": "RACHEL",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2010-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.