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NPI Code Detail

MEDICARE: DR. DAVID RAKOFSKY PC

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
1261Q00000XClinic/Center071006828IL

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 : 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
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 : 06/03/2026

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Directions to “DR. DAVID RAKOFSKY PC ” Practice Location

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