Racoma, Jan Michael Dulalas
Racoma, Jan Michael Dulalas is an individual health care provider with primary practice located at 1000 Health Center Dr , Mattoon IL 61938-4644. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Racoma, Jan Michael Dulalas can be contacted via phone (217) 258-4325.Contact Information
Primary practice address
1000 Health Center Dr
Mattoon IL 61938-4644
Phone: (217) 258-4325
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31814 | West Virginia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036156826 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036156826 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME175050 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125.072201 | Illinois |
Profile Details
| NPI number | 1902390099 |
|---|---|
| LBN Legal business name | Racoma, Jan Michael Dulalas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2018 |
| Last updated | Sep 2nd, 2026 - about last month |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902390099 | NPPES |
| Florida | MEDICAID | 121456500 |
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