Rappaport, Jessica Sara
Rappaport, Jessica Sara is an sole proprietor health care provider with primary practice located at 570 Lincoln Ave Suite1, Winnetka IL 60093-2355. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rappaport, Jessica Sara can be contacted via phone (224) 255-6001.Contact Information
Primary practice address
570 Lincoln Ave Suite1
Winnetka IL 60093-2355
Phone: (224) 255-6001
Fax: (224) 255-6709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036.126634 | Illinois |
Profile Details
| NPI number | 1356438436 |
|---|---|
| LBN Legal business name | Rappaport, Jessica Sara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Sep 21st, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356438436 | NPPES |
| New York | MEDICAID | 02604259 |
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