Rakotz, Michael Kevin

Rakotz, Michael Kevin is an individual health care provider with primary practice located at 1704 Maple Ave Suite 200, Evanston IL 60201-3134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rakotz, Michael Kevin can be contacted via phone (312) 694-2010.

Contact Information

Primary practice address
1704 Maple Ave Suite 200 Evanston IL 60201-3134
Phone: (312) 694-2010
Fax: (312) 694-2020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036117580 Illinois

Profile Details

NPI number 1902934532
LBN Legal business name Rakotz, Michael Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jul 26th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902934532 NPPES
Colorado MEDICAID 01362441

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