Individual
KENNETH R MARGULES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 S MILWAUKEE AVE, SUITE 250, LIBERTYVILLE, IL 60048-3253
(847) 367-0072
(847) 367-0876
Mailing address
755 S MILWAUKEE AVE, SUITE 250, LIBERTYVILLE, IL 60048-3253
(847) 367-0072
(847) 367-0876
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036056714
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056714
—
IL
01
—
4900946
BCBS
IL
Enumeration date
10/28/2005
Last updated
03/07/2023
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