MEDICARE: RAYSHONDIA SWOOPES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	251E00000X	Home Health Agency		IL

General Provider Information

NPI Number	:	1477409928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYSHONDIA SWOOPES

Provider Business Mailing Address
First Line	:	127 WESTWOOD DR
Second Line	:
City	:	PARK FOREST
State	:	IL
Zip	:	60466-1333
Country	:	US
Telephone Number	:	708-270-4109
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 WESTWOOD DR
Second Line	:
City	:	PARK FOREST
State	:	IL
Zip	:	60466-1333
Country	:	US
Telephone Number	:	708-270-4109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	04/17/2026

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Directions to “ RAYSHONDIA SWOOPES ” Practice Location

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