Rakinic, Jan
Rakinic, Jan is an individual health care provider with primary practice located at 315 W Carpenter St 2Nd Floor, Springfield IL 62702-4901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Rakinic, Jan can be contacted via phone (217) 545-1025.Contact Information
Primary practice address
315 W Carpenter St 2Nd Floor
Springfield IL 62702-4901
Phone: (217) 545-1025
Fax: (217) 545-0952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 036070904 | Illinois |
Profile Details
| NPI number | 1457348401 |
|---|---|
| LBN Legal business name | Rakinic, Jan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Dec 9th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457348401 | NPPES |
| Illinois | MEDICAID | 036070904 |
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