Healthcare Provider Details

I. General information

NPI: 1528014065
Provider Name (Legal Business Name): IGOR RECHITSKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 WAUKEGAN RD STE 230
MORTON GROVE IL
60053-2127
US

IV. Provider business mailing address

2547 CAMPDEN LN
NORTHBROOK IL
60062-8108
US

V. Phone/Fax

Practice location:
  • Phone: 847-583-0184
  • Fax: 847-205-0159
Mailing address:
  • Phone: 847-583-0184
  • Fax: 847-205-0159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036086893
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: