Doctor Name: | DR. MYRA ISA RAPOPORT |
NPI Number: | 1396760203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 036082037 |
Business Practice Address: | 7435 W Talcott Ave Chicago, IL - 606313707 |
Business Phone Number: | 7737925199 |
Business Fax Number: | 7737925124 |
Mailing Address: | 7435 W Talcott Ave, CHICAGO |
State: | IL |
Postal Code: | 606313707 |
Phone Number: | 7737925199 |
Fax Number: | 7737925124 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 04/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 036082037 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |