Provider Demographics
NPI:1891835948
Name:RAACK, CATHERINE B (MS)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:B
Last Name:RAACK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47W725 BEITH ROAD
Mailing Address - Street 2:
Mailing Address - City:MAPLE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60151-8805
Mailing Address - Country:US
Mailing Address - Phone:630-365-6607
Mailing Address - Fax:630-365-9550
Practice Address - Street 1:40W310 LAFOX RD
Practice Address - Street 2:SUITE 1 A-B
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-6591
Practice Address - Country:US
Practice Address - Phone:630-444-0077
Practice Address - Fax:630-444-0078
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-000585235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist