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NPI Code Detail

MEDICARE: MS. CATHERINE B. RAACK M.S.

MEDICARE: MS. CATHERINE B. RAACK M.S.
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
1235Z00000XSpeech-Language Pathologist146-000585IL

General Provider Information

NPI Number : 1891835948
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE B. RAACK M.S.
Provider Business Mailing Address
First Line : 47W725 BEITH ROAD
Second Line :
City : MAPLE PARK
State : IL
Zip : 60151-8805
Country : US
Telephone Number : 630-365-6607
Fax Number : 630-365-9550
Provider Business Practice Location Address
First Line : 40W310 LAFOX RD
Second Line : SUITE 1 A-B
City : ST CHARLES
State : IL
Zip : 60175-6591
Country : US
Telephone Number : 630-444-0077
Fax Number : 630-444-0078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 12/18/2014

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