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
Phone: (847) 964-9883
Fax: (847) 964-9830
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114988417 | NPPES |
Illinois | MEDICAID | 0360642571 |
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