Individual
DR. KURT W RAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2700 KESLINGER RD, SUITE A, GENEVA, IL 60134-4645
(630) 262-8686
(630) 262-8685
Mailing address
2700 KESLINGER RD, SUITE A, GENEVA, IL 60134-4645
(630) 262-8686
(630) 262-8685
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.020636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36 4225649
TAX ID #
IL
Enumeration date
04/18/2007
Last updated
07/08/2007
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