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NPI Code Detail

MEDICARE: PATRICIA RAFACZ

MEDICARE: PATRICIA RAFACZ
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
1183500000XPharmacist051305433IL

General Provider Information

NPI Number : 1275229445
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA RAFACZ
Provider Business Mailing Address
First Line : 6321 W 92ND ST
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-1405
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9450 JOLIET RD
Second Line :
City : HODGKINS
State : IL
Zip : 60525-4156
Country : US
Telephone Number : 708-387-2099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2023
Last Update Date : 04/12/2023

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Directions to “ PATRICIA RAFACZ ” Practice Location

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