Rakinic, Jan

Rakinic, Jan is an individual health care provider with primary practice located at 315 W Carpenter St 2Nd Floor, Springfield IL 62702-4901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Rakinic, Jan can be contacted via phone (217) 545-1025.

Contact Information

Primary practice address
315 W Carpenter St 2Nd Floor Springfield IL 62702-4901
Phone: (217) 545-1025
Fax: (217) 545-0952
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036070904 Illinois

Profile Details

NPI number 1457348401
LBN Legal business name Rakinic, Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Dec 9th, 2020 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457348401 NPPES
Illinois MEDICAID 036070904

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