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NPI Code Detail

MEDICARE: JEWEL RASKE PA-C

MEDICARE:   JEWEL  RASKE  PA-C
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
1363A00000XPhysician Assistant085011775IL

General Provider Information

NPI Number : 1922975911
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEWEL RASKE PA-C
Provider Business Mailing Address
First Line : 120 E OGDEN AVE STE 101
Second Line :
City : HINSDALE
State : IL
Zip : 60521-3892
Country : US
Telephone Number : 708-434-4090
Fax Number : 630-481-4934
Provider Business Practice Location Address
First Line : 120 E OGDEN AVE STE 101
Second Line :
City : HINSDALE
State : IL
Zip : 60521-3892
Country : US
Telephone Number : 708-434-4090
Fax Number : 630-481-4934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2025
Last Update Date : 02/17/2026

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Directions to “ JEWEL RASKE PA-C” Practice Location

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