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NPI Code Detail

MEDICARE: ROBERT RATAJCZAK MD

MEDICARE: ROBERT RATAJCZAK MD
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
1390200000XStudent in an Organized Health Care Education/Training Program125.075645IL
2390200000XStudent in an Organized Health Care Education/Training Program
32084P0800XPsychiatry Physician125.075645IL

General Provider Information

NPI Number : 1851911747
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT RATAJCZAK MD
Provider Business Mailing Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 312-945-0780
Fax Number :
Provider Business Practice Location Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 312-945-0780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2020
Last Update Date : 06/15/2026

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