Rakoczy, David
Rakoczy, David is an sole proprietor health care provider with primary practice located at 2400 Belvidere Rd , Waukegan IL 60085-6165. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rakoczy, David can be contacted via phone (847) 377-8440.Contact Information
Primary practice address
2400 Belvidere Rd
Waukegan IL 60085-6165
Phone: (847) 377-8440
Fax: (847) 377-8808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1275688608 |
|---|---|
| LBN Legal business name | Rakoczy, David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275688608 | NPPES |
| Illinois | Other | 1003402 | DORAL |
| Illinois | MEDICAID | 19018509 | DORAL |
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