Individual
DAREN J. RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1231 KLEEMANN DR, CLINTON, IL 61727-2633
(217) 935-5022
Mailing address
1231 KLEEMANN DR, CLINTON, IL 61727-2633
(217) 935-5022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
833120
MEDICARE GROUP #
IL
01
—
CA2264
RR GROUP #
—
01
—
P00404448
RR INDIVIDUAL #
—
Enumeration date
07/22/2006
Last updated
09/28/2007
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