Provider Demographics
NPI:1639375496
Name:RAKIC, ANDREI MILAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREI
Middle Name:MILAN
Last Name:RAKIC
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9680 GOLF RD
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-1522
Mailing Address - Country:US
Mailing Address - Phone:773-482-5800
Mailing Address - Fax:773-767-9604
Practice Address - Street 1:9700 GOLF ROAD
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60616
Practice Address - Country:US
Practice Address - Phone:773-482-5800
Practice Address - Fax:773-767-9604
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2021-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036.121250207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine