Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 036064871 | IL |
NPI | 1003024175 |
---|---|
Provider Name | Dr. Diane Gale Rapaport |
First Address | Riverwoods, IL 60015-1904 |
Second Address | Lombard, IL 60148-6430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2007 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D15268 | (02) | IL |