Provider Demographics
NPI:1083824726
Name:KRAVITZ, HOWARD MICHAEL (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:MICHAEL
Last Name:KRAVITZ
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 ENFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1950
Mailing Address - Country:US
Mailing Address - Phone:312-942-4161
Mailing Address - Fax:312-942-6216
Practice Address - Street 1:RUSH UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:1653 WEST CONGRESS PARKWAY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3833
Practice Address - Country:US
Practice Address - Phone:312-942-4161
Practice Address - Fax:312-942-6216
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0550372084P0015X, 2084P0800X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine