Individual
DR. KATERINA MARTINOVA RACHKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2537 W NORTH AVE, MELROSE PARK, IL 60160-1121
(708) 345-6400
(708) 345-0066
Mailing address
350 N CLARK ST STE 600, CHICAGO, IL 60654-4712
(920) 838-1649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029638
IL
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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