# JORGE ALBERTO KURGANOFF MD AND ASSOCIATES, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720270085
- **Authorized official:** JORGE A KURGANOFF M.D. (PRESIDENT)
- **Authorized official phone:** (847) 924-3175

## Contact information

- **Practice address:** 800 AUSTIN ST, EVANSTON, IL 60202-3439
- **Practice address phone:** (847) 733-7370
- **Mailing address:** PO BOX 1386, EVANSTON, IL 60204-1386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036083831 | IL | Yes |

## Other

- **Enumeration date:** 08/10/2007
- **Last updated:** 10/05/2010