Individual
JESSICA SARA RAPPAPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
570 LINCOLN AVE, SUITE1, WINNETKA, IL 60093-2355
(224) 255-6001
(224) 255-6709
Mailing address
570 LINCOLN AVE, SUITE1, WINNETKA, IL 60093-2355
(224) 255-6001
(224) 255-6709
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.126634
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02604259
—
NY
Enumeration date
10/09/2006
Last updated
09/21/2015
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