Organization Active NPI

Rappaport Pediatrics, S.C.

  • Pediatrics Physician
  • Winnetka, IL
National Provider Identifier
1376912246
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
RAPPAPORT PEDIATRICS, S.C.
Practice address
570 Lincoln Ave
Suite1
Winnetka, IL 60093-2355
Phone
(224) 255-6001
Fax
(224) 255-6709
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Rappaport, M.D.NPI 1356438436
Title
Owner
Phone
(224) 255-6001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

570 Lincoln Ave
Suite1
Winnetka, IL 60093-2355

Mailing address

570 Lincoln Ave
Suite1
Winnetka, IL 60093-2355
Phone (224) 255-6001

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2102467Rappaport Pediatrics SC570 Lincoln Ave, Ste 1, Winnetka, IL 60093Certificate of waiverSep 22, 2027

National Provider Directory

National Provider Directory

Locations

570 Lincoln Ave
Ste 1
Winnetka, IL 60093
Phone (224) 255-6001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1376912246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 LINCOLN AVE",
            "address_2": "SUITE1",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932355",
            "telephone_number": "224-255-6001",
            "fax_number": "224-255-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 LINCOLN AVE",
            "address_2": "SUITE1",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932355",
            "telephone_number": "224-255-6001",
            "fax_number": "224-255-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPPAPORT PEDIATRICS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-255-6001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.