Provider Demographics
NPI:1073509451
Name:YOCKEY, RANAE L (DO)
Entity Type:Individual
Prefix:
First Name:RANAE
Middle Name:L
Last Name:YOCKEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 W CENTRAL RD STE 6200
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2378
Mailing Address - Country:US
Mailing Address - Phone:847-618-0730
Mailing Address - Fax:847-618-0799
Practice Address - Street 1:880 W CENTRAL RD STE 6200
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2378
Practice Address - Country:US
Practice Address - Phone:847-618-0730
Practice Address - Fax:847-618-0799
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2021-05-11
Deactivation Date:2006-03-24
Deactivation Code:
Reactivation Date:2007-09-27
Provider Licenses
StateLicense IDTaxonomies
IL036089219207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001628269OtherBC/BS OF IL
IL2808142OtherAETNA
IL036089219OtherSTATE LICENSE
IL0001628269OtherBC/BS OF IL
IL2808142OtherAETNA
IL160055580Medicare ID - Type UnspecifiedRAIL ROAD MEDICARE
IL036089219Medicaid