Gregory George Rackauskas in Bloomington - General Practice
Gregory George Rackauskas - NPI 1063434124
Gregory George Rackauskas is a General Practice in Bloomington, Illinois. Gregory George Rackauskas practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory George Rackauskas is 1063434124. The last update date is 2007-07-08.
Gregory George Rackauskas's current location address is 213 Mays Drive, Bloomington, Illinois. You can contact this provider via phone number 3096635440. The mailing address for Gregory George Rackauskas is 213 Mays Drive, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory George Rackauskas |
|---|---|
| Address | 213 Mays Drive, Bloomington, Illinois |
| Phone Number | 3096635440 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1063434124 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 213 Mays Drive |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 61701 |
| Phone Number | 3096635440 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19014963 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Gregory George Rackauskas's unique identification number?
The Gregory George Rackauskas has been assigned the NPI (National Provider Identifier) Number 1063434124 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Gregory George Rackauskas is physically located?
The Gregory George Rackauskas is situated at the following address: 213 Mays Drive, Bloomington, IL 61701.
What is the Gregory George Rackauskas's area of specialization and corresponding taxonomy classification?
The Gregory George Rackauskas's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063434124 to Gregory George Rackauskas?
The Centers for Medicare & Medicaid Services originally issued the 1063434124 to Gregory George Rackauskas on 2006-07-24.
When was the information pertaining to Gregory George Rackauskas most recently updated or revised?
The details related to Gregory George Rackauskas, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.