Individual
JEFFREY KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 S MICHIGAN AVE, SUITE 817, CHICAGO, IL 60616-2333
(312) 567-2479
(312) 328-7970
Mailing address
PO BOX 5184, SKOKIE, IL 60076-5184
(773) 691-4267
(847) 745-0321
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036052917
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621816
BLUE CROSS BLUE SHIELD ID
IL
01
—
036052917
LICENSE #
IL
05
—
036052917
—
IL
01
—
214234
MEDICARE GROUP #
IL
01
—
P00173714
RAILROAD MEDICARE ID
IL
Enumeration date
06/28/2006
Last updated
03/19/2020
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