Healthcare Provider Details

I. General information

NPI: 1255340097
Provider Name (Legal Business Name): MICHAEL RACHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 10/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E SCHAUMBURG ROAD SUITE 260
SCHAUMBURG IL
60194-3658
US

IV. Provider business mailing address

1375 E SCHAUMBURG ROAD SUITE 260
SCHAUMBURG IL
60194-3658
US

V. Phone/Fax

Practice location:
  • Phone: 847-895-4540
  • Fax:
Mailing address:
  • Phone: 847-895-4540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number036094879
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: