Individual
DAVID PETER RAKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1011 WILSHIRE DR, MOUNT VERNON, IL 62864-2743
(618) 242-4150
(618) 244-1696
Mailing address
14 FAIRWAY DR, MOUNT VERNON, IL 62864-2621
(618) 244-2509
(618) 244-1696
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209-0011244
IL
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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