| Doctor Name: | DANIELLE MARIE RATAZAK |
| NPI Number: | 1023353844 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 041357485 |
| Business Practice Address: | 5775 E State Route 113 Coal City, IL - 604167111 |
| Business Phone Number: | 8156340100 |
| Business Fax Number: | |
| Mailing Address: | 5775 E. State Route 113, COAL CITY |
| State: | IL |
| Postal Code: | 60416 |
| Phone Number: | 8156340100 |
| Fax Number: | |
| NPI Enumeration Date: | 12/05/2012 |
| NPI Last Update Date: | 02/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 041357485 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |