NPIMap

Organization Active NPI

Dr Patricia Raczka & Associates, LTD

  • General Practice Dentistry
  • Northfield, IL
National Provider Identifier
1225198575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0190245757 Issued in IL
Legal business name
DR PATRICIA RACZKA & ASSOCIATES, LTD
Practice address
446 Central Ave
Ste 200
Northfield, IL 60093-3048
Phone
(847) 446-4330
NPI assigned
Dec 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia RaczkaNPI 1518252832
Title
Owner
Phone
(847) 446-4330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 0190245757 IL Primary

Addresses

Primary practice location

446 Central Ave
Ste 200
Northfield, IL 60093-3048

Mailing address

446 Central Ave
Ste 200
Northfield, IL 60093-3048

National Provider Directory

National Provider Directory

Locations

446 Central Ave
Ste 200
Northfield, IL 60093
Phone (847) 446-4330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225198575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 CENTRAL AVE",
            "address_2": "STE 200",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 CENTRAL AVE",
            "address_2": "STE 200",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933048",
            "telephone_number": "847-446-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PATRICIA RACZKA & ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RACZKA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-446-4330"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "0190245757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.