| Dr. David Rakofsky Pc | |
|
4801 W Peterson Ave Suite 612 Chicago IL 60646-5713 | |
| (312) 384-1940 | |
| Not Available |
| Full Name | Dr. David Rakofsky Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4801 W Peterson Ave, Chicago, Illinois |
| Authorized Official Name and Position | David M.c. Rakofsky (DIRECTOR) |
| Authorized Official Contact | 3123841940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. David Rakofsky Pc 3809 N Milwaukee Ave Unit A Chicago IL 60641-2890 Ph: (773) 283-4002 | Dr. David Rakofsky Pc 4801 W Peterson Ave Suite 612 Chicago IL 60646-5713 Ph: (312) 384-1940 |
| NPI Number | 1760663322 |
|---|---|
| Provider Enumeration Date | 11/23/2007 |
| Last Update Date | 11/23/2007 |
| Medicare PECOS PAC ID | 6103001797 |
|---|---|
| Medicare Enrollment ID | O20110425000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760663322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 071006828 (Illinois) | Primary |
| Provider Name | David M Rakofsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467444604 PECOS PAC ID: 2062477995 Enrollment ID: I20080229000532 |
| Provider Name | Eric Ornstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568592178 PECOS PAC ID: 5799941589 Enrollment ID: I20120723000937 |
| Provider Name | Allison D Lobel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558516310 PECOS PAC ID: 6800011859 Enrollment ID: I20140707000838 |
| Provider Name | Laura Weil Perelman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932575487 PECOS PAC ID: 0345673307 Enrollment ID: I20191204002509 |
| Provider Name | Jeffrey Samuels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316405814 PECOS PAC ID: 8729473830 Enrollment ID: I20220531001351 |
| Provider Name | Rajkumar Periasamy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013472752 PECOS PAC ID: 0547645889 Enrollment ID: I20220922000873 |
| Provider Name | Ashley Elizabeth Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457731697 PECOS PAC ID: 6406229814 Enrollment ID: I20230306002846 |
| Provider Name | Sharon Lee Ganellen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720297484 PECOS PAC ID: 1557724556 Enrollment ID: I20230823003385 |
| Provider Name | Ashley Plotnick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720732373 PECOS PAC ID: 5597108662 Enrollment ID: I20240206000340 |
| Provider Name | Alexandra Milbourn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558038851 PECOS PAC ID: 8325484512 Enrollment ID: I20240311001303 |
| Provider Name | Susan Silver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528479540 PECOS PAC ID: 2769828870 Enrollment ID: I20240312001635 |
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