Individual
DR. MICHAEL KEVIN RAKOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1704 MAPLE AVE, SUITE 200, EVANSTON, IL 60201-3134
(312) 694-2010
(312) 694-2020
Mailing address
1704 MAPLE AVE, SUITE 200, EVANSTON, IL 60201-3134
(312) 694-2010
(312) 694-2020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036117580
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01362441
—
CO
Enumeration date
03/02/2007
Last updated
07/26/2013
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