Provider Demographics
NPI:1730671835
Name:RASKI, CAROLYN ROSE (MS, CGC)
Entity type:Individual
Prefix:MISS
First Name:CAROLYN
Middle Name:ROSE
Last Name:RASKI
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:ROSE
Other - Last Name:SERBINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:225 E CHICAGO AVE # 59
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2991
Mailing Address - Country:US
Mailing Address - Phone:312-227-4391
Mailing Address - Fax:312-227-9413
Practice Address - Street 1:225 E CHICAGO AVE # 59
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:312-227-4391
Practice Address - Fax:312-227-9413
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2025-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL246.000685170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS