Provider Demographics
NPI:1386759389
Name:RABINOWE, STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:RABINOWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 N HUNT CLUB RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-2632
Mailing Address - Country:US
Mailing Address - Phone:847-662-9500
Mailing Address - Fax:847-662-9551
Practice Address - Street 1:4077 LIGHTHOUSE DR
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53402-3113
Practice Address - Country:US
Practice Address - Phone:262-619-3473
Practice Address - Fax:262-619-9610
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036085078207RE0101X
WI41940020207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD93471Medicare UPIN
WI000152024Medicare ID - Type Unspecified
IL204143Medicare ID - Type Unspecified