Individual
DR. BRENT KAUFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W. PARK ST., URBANA, IL 61801-2500
(217) 383-3190
(217) 383-7117
Mailing address
611 W. PARK ST, BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-056542
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036129569
IL
207RP1001X
Pulmonary Disease Physician
Primary
036129569
IL
390200000X
Student in an Organized Health Care Education/Training Program
57095-20
WI
Other
Enumeration date
06/29/2009
Last updated
06/02/2025
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