Angela Ratajczak

Primary specialty

PharmacistTaxonomy code 183500000X

License

051036453 Issued in IL

Practice address

12658 Lake View Dr
Orland Park, IL 60467-1061

Phone

(708) 301-4922

NPI assigned

Apr 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: angela.ratajczak@va.gov

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1962080747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12658 LAKE VIEW DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671061",
            "telephone_number": "708-301-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATAJCZAK",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051036453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Angela.Ratajczak@va.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1500 E Woodrow Wilson Ave",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392165116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Ramotowski
• Asha Rao, COTA/L
• Carrie Rao, M.H.S. CCC-SLP
• Pooja C Raol, D.D.S
• Anni Rasmussen, LCPC, CADC
• Edward I Ratkovich, DPM
• Adam Raudebaugh, DMD
• Ravinia Healthcare Inc
• Ravinia Medical LTD
• Atiya Razi, BCBA

• Pharmacist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.