# DR. JAN MICHAEL DULALAS RACOMA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902390099
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036156826 | IL | — |
| 207R00000X | Internal Medicine Physician | 125.072201 | IL | Yes |
| 207R00000X | Internal Medicine Physician | 31814 | WV | — |
| 208M00000X | Hospitalist Physician | 036156826 | IL | — |
| 208M00000X | Hospitalist Physician | ME175050 | FL | — |

## Other

- **Enumeration date:** 06/21/2018
- **Last updated:** 09/02/2026