Provider Demographics
NPI:1669737474
Name:RAUBER, KENDRA (DO)
Entity type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:
Last Name:RAUBER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KENDRA
Other - Middle Name:
Other - Last Name:MORLOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:29373 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1293
Mailing Address - Country:US
Mailing Address - Phone:847-390-5900
Mailing Address - Fax:847-390-4757
Practice Address - Street 1:836 W WELLINGTON AVE
Practice Address - Street 2:ROOM 3604
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5147
Practice Address - Country:US
Practice Address - Phone:773-296-5435
Practice Address - Fax:773-296-7768
Is Sole Proprietor?:No
Enumeration Date:2012-07-08
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036137333208000000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics