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Contact Information

GREGORY G RACKAUSKAS, DDS
305 SOUTH LINDEN
NORMAL, IL61761
 Phone: 309-454-1425
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GREGORY G RACKAUSKAS · (Male)

NPI # 1063434124
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 19014963
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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