Provider Demographics
NPI:1376912246
Name:RAPPAPORT PEDIATRICS, S.C.
Entity Type:Organization
Organization Name:RAPPAPORT PEDIATRICS, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAPPAPORT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:224-255-6001
Mailing Address - Street 1:570 LINCOLN AVE
Mailing Address - Street 2:SUITE1
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2355
Mailing Address - Country:US
Mailing Address - Phone:224-255-6001
Mailing Address - Fax:224-255-6709
Practice Address - Street 1:570 LINCOLN AVE
Practice Address - Street 2:SUITE1
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093-2355
Practice Address - Country:US
Practice Address - Phone:224-255-6001
Practice Address - Fax:224-255-6709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty