Provider Demographics
NPI:1871239285
Name:RASINSKI LLC
Entity type:Organization
Organization Name:RASINSKI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:773-206-4082
Mailing Address - Street 1:5329 N SAWYER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-4717
Mailing Address - Country:US
Mailing Address - Phone:773-206-4082
Mailing Address - Fax:
Practice Address - Street 1:5329 N SAWYER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-4717
Practice Address - Country:US
Practice Address - Phone:773-206-4082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RASINSKI LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty