Provider Demographics
NPI:1164518049
Name:RABIN, MICHAEL HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HOWARD
Last Name:RABIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1551 BOND ST SUITE 143
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-0112
Mailing Address - Country:US
Mailing Address - Phone:630-983-7100
Mailing Address - Fax:630-983-6331
Practice Address - Street 1:1551 BOND ST SUITE 143
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-0112
Practice Address - Country:US
Practice Address - Phone:630-983-7100
Practice Address - Fax:630-983-6331
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4515366OtherBCBS
CM8165OtherRAILROAD MEDICARE
CM8165OtherRAILROAD MEDICARE
F51041Medicare UPIN
IL4515366OtherBCBS