Rapaport, Barry A

Rapaport, Barry A is an sole proprietor health care provider with primary practice located at 1418 Kenton Rd , Deerfield IL 60015-2314. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Rapaport, Barry A can be contacted via phone (847) 964-9883.

Contact Information

Primary practice address
1418 Kenton Rd Deerfield IL 60015-2314
Fax: (847) 964-9830
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 363553539 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 208D00000X Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036064257 Illinois

Profile Details

NPI number 1114988417
LBN Legal business name Rapaport, Barry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Oct 19th, 2020 - about 4 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 1114988417 NPPES
Illinois MEDICAID 0360642571

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