Patricia Raczka

Primary specialty

DentistTaxonomy code 122300000X

License

019024757 Issued in IL

Practice address

446 Central Ave
Ste 200
Northfield, IL 60093-3048

Phone

(847) 446-4330

NPI assigned

Jun 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Patricia Raczka & Associates, LTD

  • General Practice Dentistry
  • Northfield, IL
  • NPI 1225198575
  NPD (past) Authorized official

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1518252832",
    "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",
            "telephone_number": "847-446-4330"
        },
        {
            "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": {
        "last_name": "RACZKA",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunil Simon Pullukat, D.C.
• Amber Qadri
• Frederick Douglas Quinn, LCPC, NCC, DAPA
• Lacey Rabbe, COTA/L
• Rachel Dubrow LCSW PLLC
• Taleen Rantis
• Sarah L Rassey
• Emily Rebstock, LSW
• Lauren Reinstein
• Claire Reiser, MACAT, LPC

• Dentist in Northfield, IL
• Providers in Northfield, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.