Individual
MR. JOHN CHARLES RAKESTRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-CLP/L
Contact information
Practice address
1204 N 1ST ST, GAYS, IL 61928-9784
(217) 254-6895
Mailing address
1204 N 1ST ST, GAYS, IL 61928-9784
(217) 254-6895
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146004265
IL
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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