Search › Illinois › 1223X0400X
Jonathan Rakstang, DDS
NPI 1366772287 · on the registry since 2009 · sole proprietor
Practice
- Address
- 7820 S Cicero Ave
Burbank, IL 60459 - Phone
- (708) 391-5220
- Organisation at this address
- Orthodontic Experts
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 4400 Rogers Ave, Fort Smith, AR
- 7820 S Cicero Ave, Burbank, IL
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 122300000X
122300000X - Licence states on file
- CO, AR, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois