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Search › Illinois › 104100000X

Raqueal Pullums

NPI 1215810049 · on the registry since 2025

Practice

Address
259 E 115th St
Chicago, IL 60628
Phone
(773) 493-4100
Organisation at this address
Gro Community
Gro Clinical Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois