Individual
BARRY A RAPAPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1418 KENTON RD, DEERFIELD, IL 60015-2314
(847) 964-9883
(847) 964-9830
Mailing address
PO BOX 1245, DEERFIELD, IL 60015-6003
(847) 964-9883
(847) 964-9830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
363553539
IL
207R00000X
Internal Medicine Physician
036064257
IL
207R00000X
Internal Medicine Physician
Primary
208D00000X
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360642571
—
IL
Enumeration date
03/28/2006
Last updated
10/19/2020
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