ELLA-MARIE RAKOWSKI


Address: 25 Acorn Dr, Hawthorn Woods, IL 60047-7407
Phone: 3124022842

ELLA-MARIE RAKOWSKI (NPI# 1134761984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134761984
Entity Type Individual
Full Name ELLA-MARIE RAKOWSKI
Credential PA-C
Practice Address 25 Acorn Dr
Hawthorn Woods
IL 60047-7407
Practice Telephone 3124022842
Mailing Telephone 3124022842
Enumeration Date 2019-10-14
Last Update Date 2019-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
085.007257 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 25 ACORN DR
City HAWTHORN WOODS
State IL
Zip Code 60047-7407

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1871142547 Terry Solberg Technician 25 Robin Crest Rd, Hawthorn Woods, IL 60047 2019-09-05
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1982118576 Stephanie Marie Luebbe Specialist/Technologist 30 Seneca Ave W, Hawthorn Woods, IL 60047 2017-11-19
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1104366491 Lindsay Pearlman & Associates Psychologist 4160 Rte 83, Suite 307, Long Grove, IL 60047 2017-03-06
1164969929 Lauren Christine Hallerud Counselor 4180 Il-83, Suite 10, Long Grove, IL 60047 2017-01-31
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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Competitor

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City HAWTHORN WOODS
Zip Code 60047

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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