# KENNETH RASKIN MD ILLINOIS SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BodyLogicMD of Chicago-Schaumburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518441344
- **Authorized official:** DR. KENNETH SCOTT RASKIN MD (PHYSICIAN)
- **Authorized official phone:** (262) 994-1818

## Contact information

- **Practice address:** 1827 WALDEN OFFICE SQ STE 250, SCHAUMBURG, IL 60173-4344
- **Practice address phone:** (847) 258-7148
- **Practice address fax:** (312) 488-4634
- **Mailing address:** 5790 STEFANIE WAY, CALEDONIA, WI 53108-9561
- **Mailing address phone:** (262) 994-1818
- **Mailing address fax:** (262) 317-9311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2018
- **Last updated:** 09/18/2018