Provider Demographics
NPI:1952450801
Name:RABIN, MICHAEL CRAIG (PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CRAIG
Last Name:RABIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 FARNSWORTH LN
Mailing Address - Street 2:#302
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-3767
Mailing Address - Country:US
Mailing Address - Phone:312-208-8866
Mailing Address - Fax:847-564-3536
Practice Address - Street 1:1950 FARNSWORTH LN
Practice Address - Street 2:#302
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-3767
Practice Address - Country:US
Practice Address - Phone:312-208-8866
Practice Address - Fax:847-564-3536
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic