Individual provider Active NPI

Hanna J Rakowski, NP-C

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1821476359
Registry record updated May 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012816 Issued in IL
Practice address
2350 N Rockton Ave
Suite 304
Rockford, IL 61103-3600
Phone
(815) 971-7210
Fax
(815) 971-9954
NPI assigned
May 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209012816 IL Primary

Addresses

Primary practice location

2350 N Rockton Ave
Suite 304
Rockford, IL 61103-3600

Mailing address

2350 N Rockton Ave
Suite 304
Rockford, IL 61103-3600
Phone (815) 971-7210

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624002769 IL Practitioner - Nurse Practitioner 9436460904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

391 S Bolingbrook Dr
Bolingbrook, IL 60440-3411
Phone (630) 423-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince May 21, 2015 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Jan 9, 2017 Accepting new patients
Pic Wisconsin SC PastSince Sep 25, 2019 Accepting new patients

Locations

391 S Bolingbrook Dr
Bolingbrook, IL 60440
Phone (630) 226-1006

6140 N Broadway St
Chicago, IL 60660
Phone (224) 795-3521

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

2350 N Rockton Ave
Ste 304
Rockford, IL 61103
Phone (815) 971-7210

9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (847) 653-0130

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431820800000",
    "number": "1821476359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 N ROCKTON AVE",
            "address_2": "SUITE 304",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033600",
            "telephone_number": "815-971-7210",
            "fax_number": "815-971-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N ROCKTON AVE",
            "address_2": "SUITE 304",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033600",
            "telephone_number": "815-971-7210",
            "fax_number": "815-971-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOWSKI",
        "first_name": "HANNA",
        "middle_name": "J",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-17",
        "last_updated": "2015-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.