Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 036048343 | IL |
NPI | 1003854225 |
---|---|
Provider Name | Raymond J Rapacz |
First Address | Woodridge, IL 60517-4903 |
Second Address | Hinsdale, IL 60521-8601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 21/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1912218850 | NPI GROUP PRACTICE (01) | IL |
C44836 | (02) | IL |
IL4174014 | MEDICARE-LOCALITY 16 (01) | IL |
IL4177014 | MEDICARE-LOCALITY 15 (01) | IL |