NPIMap

Organization Active NPI

Dr. David Rakofsky PC

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1760663322
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
071006828 Issued in IL
Legal business name
DR. DAVID RAKOFSKY PC
Practice address
1011 W Wellington Ave Ste 210
Chicago, IL 60657-7187
Phone
(312) 384-1940
Fax
(773) 423-8444
NPI assigned
Nov 23, 2007
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Deana Martinson
Title
Billing Manager
Phone
(312) 380-1783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 071006828 IL Primary

Addresses

Primary practice location

1011 W Wellington Ave Ste 210
Chicago, IL 60657-7187

Mailing address

1011 W Wellington Ave Ste 210
Chicago, IL 60657-7187
Phone (312) 384-1940

Other practice location 1

4709 Golf Rd Ste 1150
Skokie, IL 60076-1252
Phone (312) 384-1940

Other practice location 2

747 N La Salle Dr Ste 700
Chicago, IL 60654-5089
Phone (312) 384-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110425000799 IL Part B Supplier - Clinic/Group Practice 6103001797 Receives reassigned benefits from 14 practitioners
Practice locations: Chicago, IL; Northbrook, IL

National Provider Directory

National Provider Directory
Tax ID family
Dr David Rakofsky PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 W Belmont Ave
Ste 302
Chicago, IL 60657
Phone (773) 244-3151

747 N La Salle Dr
Ste 700
Chicago, IL 60654

666 Dundee Rd
Ste 706
Northbrook, IL 60062
Phone (312) 809-6911

666 Dundee Rd
Ste 708
Northbrook, IL 60062
Phone (312) 900-8642

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1760663322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577187",
            "telephone_number": "312-384-1940",
            "fax_number": "773-423-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577187",
            "telephone_number": "312-384-1940",
            "fax_number": "773-423-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4709 Golf Rd Ste 1150",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600761252",
            "country_code": "US",
            "telephone_number": "312-384-1940",
            "fax_number": "773-423-8444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "747 N La Salle Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606545089",
            "country_code": "US",
            "telephone_number": "312-384-1940",
            "fax_number": "773-423-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. DAVID RAKOFSKY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "MARTINSON",
        "authorized_official_first_name": "DEANA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "312-380-1783"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "071006828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.