Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 036073545 | IL |
N | 2084N0400X | Neurologist | 28511 | CT |
N | 2084N0400X | Neurologist | 296649 | NY |
NPI | 1003975897 |
---|---|
Provider Name | Michael Rezak |
First Address | Hoffman Estates, IL 60169-1063 |
Second Address | Hoffman Estates, IL 60169-1063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2006 |
Last Update Date | 31/03/2021 |