Organization
TRACI A KURTZER MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI A KURTZER M.D (OWNER)
(847) 328-0238
Entity
Organization
Contact information
Practice address
636 CHURCH ST STE 217, EVANSTON, IL 60201-4578
(847) 328-0238
Mailing address
636 CHURCH ST STE 217, EVANSTON, IL 60201-4578
(847) 328-0238
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036091007
IL
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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