MEDICARE: DR. DAVID RAKOFSKY PC

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	261Q00000X	Clinic/Center	071006828	IL

General Provider Information

NPI Number	:	1760663322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. DAVID RAKOFSKY PC

Provider Business Mailing Address
First Line	:	1950 N STEMMONS FWY #5010 LOCKBOX 844274
Second Line	:	LOCKBOX 844274
City	:	DALLAS
State	:	TX
Zip	:	75207-3199
Country	:	US
Telephone Number	:	312-384-1940
Fax Number	:	773-423-8444

Provider Business Practice Location Address
First Line	:	1011 W WELLINGTON AVE STE 210
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-7187
Country	:	US
Telephone Number	:	312-384-1940
Fax Number	:	773-423-8444

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	DEANA MARTINSON
Credential	:
Telephone Number	:	941-735-3034

Provider Enumeration Date	:	11/23/2007
Last Update Date	:	10/09/2025

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