Individual
DR. MARY ANN RACKAUSKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.M.S
Contact information
Practice address
1112 RICKARD RD, SPRINGFIELD, IL 62704-1017
(217) 546-5437
(217) 546-5497
Mailing address
1112 RICKARD RD, SPRINGFIELD, IL 62704-1017
(217) 546-5437
(217) 546-5497
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
IL
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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